TY 2021 Form 990

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)
(1) ALEX WAYNE...................................................................... VICE CHAIR	1.00 .................	X		0	0
(2) BEN HAWKINS...................................................................... MEMBER	1.00 .................	X		0	0
(3) BRAD PURYEAR...................................................................... MEMBER	1.00 .................	X		0	0
(4) CINDY GREEN...................................................................... MEMBER	1.00 .................	X		0	0
(5) GREG OURS...................................................................... MEMBER	1.00 .................	X		0	0
(6) JACK KEENER...................................................................... MEMBER	1.00 .................	X		0	0
(7) JACKIE WALLACE...................................................................... MEMBER	1.00 .................	X		0	0
(8) JOHN CLIFTON HASTINGS...................................................................... MEMBER,PHYSICIAN-NGPG	1.00 ................. 40.00	X		847,442	44,278
(9) LETRELL SIMPSON...................................................................... MEMBER	1.00 .................	X		0	0
(10) MOHAK DAVE...................................................................... MEMBER	1.00 .................	X		93,996	0
(11) PHILLIPPA LEWIS MOSS...................................................................... MEMBER -EX OFFICIO	1.00 .................	X		0	0
(12) PIERPONT BROWN...................................................................... MEMBER,PHYSICIAN-NGPG	1.00 ................. 40.00	X		521,102	40,489
(13) RK WHITEHEAD...................................................................... MEMBER	1.00 .................	X		0	0
(14) SPENCE PRICE...................................................................... CHAIR	1.00 .................	X		0	0
(15) CAROL BURRELL...................................................................... PRESIDENT & CEO	40.00 ................. 1.00		X	1,657,752	100,844
(16) BRIAN D STEINES...................................................................... CHIEF FINANCIAL OFFICER	40.00 ................. 1.00		X	974,462	116,683
(17) STEPHEN KELLY...................................................................... CHIEF COMPLIANCE OFFICER	40.00 ................. 1.00		X	327,437	57,204

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) MICHAEL COVERT........................................................................ CHIEF OPERATING OFFICER	1.00 .......................40.00	X				1,214,072	130,192
(19) ANDREI BOYARSHINOV........................................................................ VP LEGAL AFFAIRS & CHIEF LEGAL OFFICER	40.00 .......................		X			611,475	92,362
(20) CHAD HATFIELD........................................................................ VP - REGIONAL HOSPITALS	40.00 .......................		X			196,560	20,405
(21) CHRISTOPHER PARAVATE........................................................................ CHIEF INFORMATION OFFICER - NGHS	40.00 .......................		X			611,096	91,771
(22) DANIEL TUFFY........................................................................ PRESIDENT AND CAO - NGPG	40.00 .......................1.00		X			603,141	90,780
(23) HABIB SAMADY........................................................................ PRESIDENT - GEORGIA HEART INSTITUTE	40.00 .......................1.00		X			1,198,947	106,846
(24) LORIE SHOEMAKER........................................................................ CHIEF NURSING EXECUTIVE - CONTRACT	40.00 .......................		X			368,341	0
(25) LUISA GUTMAN........................................................................ CHIEF HR OFFICER - NGHS	40.00 .......................1.00		X			476,483	47,234
(26) MELISSA TYMCHUK........................................................................ CHIEF OF STAFF	40.00 .......................1.00		X			389,539	81,451
(27) TRACY VARDEMAN........................................................................ CHIEF STRATEGY EXECUTIVE - NGHS	40.00 .......................		X			576,284	99,547
(28) JEH-WEI CHENG........................................................................ PHYSICIAN	40.00 .......................			X		748,840	24,163
(29) MITCHELL DAVIS........................................................................ PHYSICIAN	40.00 .......................			X		746,421	42,219
(30) NIMA GHASEMZADEH........................................................................ PHYSICIAN	40.00 .......................			X		752,058	21,613
(31) RYAN WHITNEY........................................................................ PHYSICIAN	40.00 .......................			X		926,404	30,377
(32) UGOCHUKWU EGOLUM........................................................................ PHYSICIAN	40.00 .......................			X		756,792	40,046
(33) BRENDA SIMPSON........................................................................ FORMER CHIEF NURSING EXECUTIVE - NGMC	0.00 .......................				X	105,184	5,090
(34) LOUIS SMITH JR........................................................................ FORMER PRESIDENT - NGMC - SYSTEM ACU	0.00 .......................				X	179,296	8,231

(A) Name and business address	(B) Description of services	(C) Compensation
GA EMERGENCY DEPARTMENT SERVICES 1000 COBB PLACE BLVD KENNESAW,GA30144	PHYSICIAN SERVICES	2,019,267
MEDEFIS INC PO BOX 5068 NEW YORK,NY10087	STAFFING SERVICES	1,977,071
PARKER HUSDON RAINER & DOBBS 303 PEACHTREE ST NE STE 3600 ATLANTA,GA30308	LEGAL SERVICES	1,635,889
TRIAGE CONSULTING GROUP 221 MAIN STREET SUITE 1100 SAN FRANCISCO,CA94105	REIMBURSEMENT SERVICES	1,591,806
ACCELERATED CLAIMS INC PO BOX 742319 ATLANTA,GA30374	REIMBURSEMENT SERVICES	1,273,235
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 132

- TIN:

SCHEDULE A
(Form 990)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public
Inspection

Name of the organization

NORTHEAST GEORGIA HEALTH SYSTEM INC

Employer identification number

58-1694090

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 33 1/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 33 1/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box on lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................1

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iii) Type of organization (described on lines 1- 10 above (see instructions))	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN		Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(A) NORTHEAST GEORGIA MEDICAL CENTER	581694098	3	Yes		0	0

Total 1					0	0

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990) 2021

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) ..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10

Gross receipts from related activities, etc. (see instructions) ..................

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here ........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2021 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2020 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2021. If the organization did not check the box on line 13, and line 14 is 33 1/3 % or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2020. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2021. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2020. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990) 2021

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose
3	Gross receipts from activities that are not an unrelated trade or business under section 513 .....
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge
6	Total. Add lines 1 through 5
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2021 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2020 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2021 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2020 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2021. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2020. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990) 2021

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Yes

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990) 2021

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described on 11a above?

11b

A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Yes

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

Yes

By reason of the relationship described in line 2 above, did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Yes

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer lines 2a and 2b below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described on line 2a, above constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer lines 3a and 3b below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations?If "Yes" or "No", provide details in Part VI.

Yes

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Yes

Schedule A (Form 990) 2021

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by 0.035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990) 2021

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2021 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2021	(iii) Distributable Amount for 2021
1 Distributable amount for 2021 from Section C, line 6
2 Underdistributions, if any, for years prior to 2021 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2021:
a From 2016.......
b From 2017.......
c From 2018.......
d From 2019.......
e From 2020.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2021 distributable amount
i Carryover from 2016 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2021 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2021 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2021, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2021. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2022. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2017.....
b Excess from 2018.....
c Excess from 2019.....
d Excess from 2020.....
e Excess from 2021.....

Schedule A (Form 990) (2021)

Schedule A (Form 990) 2021

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation
PART IV, SECTION D, LINE 3	NORTHEAST GEORGIA HEALTH SYSTEM, INC. EXERCISES A SUBSTANTIAL DEGREE OF DIRECTION OVER THE POLICIES, PROGRAMS, AND ACTIVITIES, TO INCLUDE THE INVESTMENTS OF NORTHEAST GEORGIA MEDICAL CENTER, INC. BY APPOINTING THE MEMBERS OF ITS BOARD OF TRUSTEES.
PART IV, SECTION E, LINE 3A	NORTHEAST GEORGIA HEALTH SYSTEM, INC. HAS THE POWER TO REGULARLY APPOINT THE MEMBERS OF THE BOARD OF TRUSTEES OF NORTHEAST GEORGIA MEDICAL CENTER, INC.
PART IV, SECTION E, LINE 3B	NORTHEAST GEORGIA HEALTH SYSTEM, INC. EXERCISES A SUBSTANTIAL DEGREE OF DIRECTION OVER THE POLICIES, PROGRAMS, AND ACTIVITIES OF NORTHEAST GEORGIA MEDICAL CENTER, INC. BY APPOINTING THE MEMBERS OF ITS BOARD OF TRUSTEES.

Schedule A (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527

SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public
Inspection

If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

NORTHEAST GEORGIA HEALTH SYSTEM INC

Employer identification number

58-1694090

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV. See instructions for definition of “political campaign activities."

Political campaign activity expenditures. See instructions .................................................................... SchCMd Bullet

Volunteer hours for political campaign activities. See instructions ..................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b........... SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

For Paperwork Reduction Act Notice, see the instructions for Form 990.

Cat. No. 50084S

Schedule C (Form 990) 2021

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ........................
c	Total lobbying expenditures (add lines 1a and 1b) ............................................................
d	Other exempt purpose expenditures ...............................................................................
e	Total exempt purpose expenditures (add lines 1c and 1d) ..................................................
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................................................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ...................................................................................................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2018	(b) 2019	(c) 2020	(d) 2021	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990) 2021

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes|No

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Yes

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Yes

164,518

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Yes

153,839

Other activities? ...................................................................................................................

Yes

174,944

Total. Add lines 1c through 1i ....................................................................................................

493,301

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................

Taxable amount of lobbying and political expenditures. See Instructions .........................................

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
PART II-B, LINE 1:	NORTHEAST GEORGIA HEALTH SYSTEM, INC. PAYS MEMBERSHIP DUES TO SEVERAL PROFESSIONAL AND TRADE ASSOCIATIONS SUCH AS: -AMERICAN ACADEMY OF PHYSICIAN ASSISTANTS -AMERICAN ACADEMY OF PHYSICAN ASSOCIATES -AMERICAN ASSOCIATION OF NURSE PRACTITIONERS -AMERICAN COLLEGE OF CARDIOLOGY -AMERICAN COLLEGE OF HEALTH CARE EXECUTIVES -AMERICAN COLLEGE OF PHYSICIANS -AMERICAN HEALTH INFORMATION MANAGEMENT ASSOCIATION -AMERICAN HOSPITAL ASSOCIATION -AMERICAN MEDICAL ASSOCIATION -AMERICAN ORNGAIZATION FOR NURSING LEADERSHIP -AMERICAN SOCIETY OF ECHOCARDIOGRAPHY -AMERICAN SOCIETY OF ECHOCARDIOLOGY -AMGA CONSULTING, LLC -EMERGENCY NURSES ASSOCIATION -GEORGIA ALLIANCE OF COMMUNITY HOSPITALS -GEORGIA ASSOCIATION OF PHYSICIAN ASSISTANTS -GEORGIA CHAMBER OF COMMERCE -GEORGIA HOSPITAL ASSOCIATION -GREATER HALL CHAMBER OF COMMERCE -SOCIETY FOR CARDIOVASCULAR ANGIOGRAPHY & INTERVENTIONS -SOCIETY OF HUMAN RESOURCES A PORTION OF THESE DUES IS DESIGNATED FOR LOBBYING ACTIVITIES BY THESE ORGANIZATIONS.

Return Reference

Explanation

PART II-B, LINE 1:

NORTHEAST GEORGIA HEALTH SYSTEM, INC. PAYS MEMBERSHIP DUES TO SEVERAL PROFESSIONAL AND TRADE ASSOCIATIONS SUCH AS: -AMERICAN ACADEMY OF PHYSICIAN ASSISTANTS -AMERICAN ACADEMY OF PHYSICAN ASSOCIATES -AMERICAN ASSOCIATION OF NURSE PRACTITIONERS -AMERICAN COLLEGE OF CARDIOLOGY -AMERICAN COLLEGE OF HEALTH CARE EXECUTIVES -AMERICAN COLLEGE OF PHYSICIANS -AMERICAN HEALTH INFORMATION MANAGEMENT ASSOCIATION -AMERICAN HOSPITAL ASSOCIATION -AMERICAN MEDICAL ASSOCIATION -AMERICAN ORNGAIZATION FOR NURSING LEADERSHIP -AMERICAN SOCIETY OF ECHOCARDIOGRAPHY -AMERICAN SOCIETY OF ECHOCARDIOLOGY -AMGA CONSULTING, LLC -EMERGENCY NURSES ASSOCIATION -GEORGIA ALLIANCE OF COMMUNITY HOSPITALS -GEORGIA ASSOCIATION OF PHYSICIAN ASSISTANTS -GEORGIA CHAMBER OF COMMERCE -GEORGIA HOSPITAL ASSOCIATION -GREATER HALL CHAMBER OF COMMERCE -SOCIETY FOR CARDIOVASCULAR ANGIOGRAPHY & INTERVENTIONS -SOCIETY OF HUMAN RESOURCES A PORTION OF THESE DUES IS DESIGNATED FOR LOBBYING ACTIVITIES BY THESE ORGANIZATIONS.

Schedule C (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
SchDMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

NORTHEAST GEORGIA HEALTH SYSTEM INC

Employer identification number

58-1694090

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

Assets included in Form 990, Part X ............................... SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2021

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a) Current year	(b) Prior year	(c) Two years back	(d) Three years back	(e) Four years back

1a	Beginning of year balance ....
b	Contributions ...
c	Net investment earnings, gains, and losses
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Term endowment SchDMd Bullet

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) Unrelated organizations .................

3a(i)

(ii) Related organizations .................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	63,847,336		63,847,336
b	Buildings ....	192,897,259	84,112,087	108,785,172
c	Leasehold improvements	3,382,240	3,291,593	90,647
d	Equipment ....	56,278,584	39,716,332	16,562,252
e	Other .....	15,848,114	268,841	15,579,273
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				204,864,680

Schedule D (Form 990) 2021

Page 3

Part VII

Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1)DEFERRED COMPENSATION				82,512,650
(2)BOARD DESIGNATED ASSETS				89,738,980
(3)OTHER ASSETS				9,841,479
(4)ROU ASSET OPERATING LEASE				7,047,436
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				189,140,545

Part X

Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	37,249,462
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2021

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1..................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d....................		2e
3	Subtract line 2e from line 1...................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference

Explanation

PART X, LINE 2:

NORTHEAST GEORGIA HEALTH SYSTEM, INC. (NGHS), NORTHEAST GEORGIA MEDICAL CENTER, INC. (NGMC), THE MEDICAL CENTER FOUNDATION, INC., NORTHEAST GEORGIA PHYSICIANS GROUP, INC. (NGPG), AND LANIER COMMUNITY ASSURANCE, LTD. (LCA) ARE CLASSIFIED AS ORGANIZATIONS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OR PROVISIONS OF THE COMPANIES LAW OF THE CAYMAN ISLANDS. THE INCOME FOR NGMC-BARROW, NGMC-LUMPKIN, PEO, AND GHI PASSES THROUGH TO NGHS, WHICH IS TAX EXEMPT. AS SUCH, NO PROVISION FOR INCOME TAXES HAS BEEN MADE IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. NORTHEAST GEORGIA HEALTH PARTNERS, LLC (NGHP) AND NGHP NETWORK ARE TAXABLE ENTITIES AND ACCOUNT FOR INCOME TAXES IN ACCORDANCE WITH THE FASB ASC 740, INCOME TAXES (ASC 740). AT SEPTEMBER 30, 2022 AND 2021, RESPECTIVELY, MANAGEMENT DOES NOT BELIEVE THE SYSTEM HOLDS ANY UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE FINANCIAL STATEMENT RECOGNITION OR DISCLOSURE UNDER ASC 740. IT IS THE SYSTEM'S POLICY TO RECOGNIZE INTEREST AND/OR PENALTIES RELATED TO INCOME TAX MATTERS AS AN OPERATING EXPENSE.

Schedule D (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

NORTHEAST GEORGIA HEALTH SYSTEM INC

Employer identification number

58-1694090

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

Yes

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

Yes

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .			4,606,310		4,606,310	1.620 %
b	Medicaid (from Worksheet 3, column a) . . . . .			11,124,645	10,617,254	507,391	0.180 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .			7,850		7,850	0 %
d	Total Financial Assistance and Means-Tested Government Programs . . . . .			15,738,805	10,617,254	5,121,551	1.800 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	8	2,559	191,310	500	190,810	0.070 %
f	Health professions education (from Worksheet 5) . . .	4	148	89,929		89,929	0.030 %
g	Subsidized health services (from Worksheet 6) . . . .
h	Research (from Worksheet 7) .
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	23	39,734	269,371	1,500	267,871	0.090 %
j	Total. Other Benefits . .	35	42,441	550,610	2,000	548,610	0.190 %
k	Total. Add lines 7d and 7j .	35	42,441	16,289,415	10,619,254	5,670,161	1.990 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2021

Schedule H (Form 990) 2021

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support	1		1,000	1,000	0 %
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development	1	8	22,751	22,751	0.010 %
9	Other
10	Total	2	8	23,751	23,751	0.010 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

16,904,961

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

11,225,423

Enter Medicare allowable costs of care relating to payments on line 5.....

14,355,376

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-3,129,953

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2021

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?2Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
1	NGMC BARROW LLC 316 NORTH BROAD STREET WINDER,GA30680 WWW.NGHS.COM/LOCATIONS/BARROW 007-718	X	X	X
2	NGMC LUMPKIN LLC 227 MOUNTAIN DRIVE DAHLONEGA,GA30533 WWW.NGHS.COM/LOCATIONS/LUMPKIN 093-628	X	X	X

Schedule H (Form 990) 2021

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	NGMC BARROW LLC
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 21

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Yes

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): WWW.NGHS.COM

Other website (list url): HABERSHAMMEDICAL.COM; STEPHENSCOUNTYHOSPITAL.COM

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 21

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): WWW.NGHS.COM

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2021

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	NGMC BARROW LLC
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 150.000000000000%
and FPG family income limit for eligibility for discounted care of 300.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

WWW.NGHS.COM/FINANCIAL-ASSISTANCE

The FAP application form was widely available on a website (list url):

WWW.NGHS.COM/FINANCIAL-ASSISTANCE

A plain language summary of the FAP was widely available on a website (list url):
WWW.NGHS.COM/FINANCIAL-ASSISTANCE

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2021

Page 6

Part VFacility Information (continued)

Billing and Collections

	NGMC BARROW LLC
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2021

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	NGMC BARROW LLC
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2021

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	NGMC LUMPKIN LLC
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 21

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Yes

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): WWW.NGHS.COM

Other website (list url): HABERSHAMMEDICAL.COM; STEPHENSCOUNTYHOSPITAL.COM

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 21

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): WWW.NGHS.COM

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2021

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	NGMC LUMPKIN LLC
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 150.000000000000%
and FPG family income limit for eligibility for discounted care of 300.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

WWW.NGHS.COM/FINANCIAL-ASSISTANCE

The FAP application form was widely available on a website (list url):

WWW.NGHS.COM/FINANCIAL-ASSISTANCE

A plain language summary of the FAP was widely available on a website (list url):
WWW.NGHS.COM/FINANCIAL-ASSISTANCE

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2021

Page 6

Part VFacility Information (continued)

Billing and Collections

	NGMC LUMPKIN LLC
Name of hospital facility or letter of facility reporting group

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2021

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	NGMC LUMPKIN LLC
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a prospective Medicare or Medicaid method

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2021

Page 8

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
NGMC BARROW LLC	PART V, SECTION B, LINE 5: THE FOLLOWING ORGANIZATIONS HAVE PARTNERED AND COLLABORATED TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) FOR COMMUNITIES THEY (CHNA PARTNERS) SERVE IN NORTHEASTERN GEORGIA: -DISTRICT 2 PUBLIC HEALTH -HABERSHAM MEDICAL CENTER -GOOD NEWS CLINICS -NORTHEAST GEORGIA MEDICAL CENTER GAINESVILLE -NORTHEAST GEORGIA MEDICAL CENTER BRASELTON -NORTHEAST GEORGIA MEDICAL CENTER BARROW -NORTHEAST GEORGIA MEDICAL CENTER LUMPKIN -STEPHENS COUNTY HOSPITALTHROUGH THIS ASSESSMENT, THE CHNA PARTNERS WORKED TO BETTER UNDERSTAND LOCAL HEALTH CHALLENGES, IDENTIFY HEALTH TRENDS, DETERMINE GAPS IN THE CURRENT HEALTH DELIVERY SYSTEM, AND CRAFT A PLAN TO ADDRESS THOSE GAPS AND THE IDENTIFIED HEALTH NEEDS. THE COMMUNITIES SERVED BY EACH OF THE PARTNERS OVERLAPPED AND COMBINED TO INCLUDE ALL OR PART OF 14 COUNTIES IN NORTHEAST GEORGIA. THESE COMMUNITIES REFLECT THE FOLLOWING SERVICE AREAS: -HABERSHAM MEDICAL CENTER (HMC): HABERSHAM, BANKS, AND RABUN COUNTIES -NGMC PRIMARY SERVICE AREA (PSA): HALL COUNTY -NGMC GREATER BRASELTON SERVICE AREA (GBSA): BARROW AND JACKSON COUNTIES, PARTS OF GWINNETT AND HALL COUNTIES -NGMC SECONDARY SERVICE AREA 400 (SSA 400): DAWSON AND LUMPKIN COUNTIES -NGMC SECONDARY SERVICE AREA NORTH (SSA NORTH): BANKS, HABERSHAM, RABUN, STEPHENS, TOWNS, UNION, AND WHITE COUNTIES -STEPHENS COUNTY HOSPITAL (SCH): STEPHENS AND FRANKLIN COUNTIESPUBLIC GOODS GROUP (PGG) WAS ENGAGED BY THE PARTNERS TO COLLECT AND ANALYZE QUANTITATIVE DATA FOR THE CHNA AND OVER 190 PUBLIC HEALTH INDICATORS WERE EXAMINED IN THE COMMUNITIES REPRESENTED WITHIN THE ABOVE-NAMED NORTHEAST GEORGIA COMMUNITIES.A QUALITATIVE ASSESSMENT WAS THEN CONDUCTED TO SOLICIT THE INPUT OF MORE THAN 4,900 PEOPLE THROUGH SIX CHANNELS: FOCUS GROUPS, INTERVIEWS, IN-PERSON SURVEYS, A MULTI-LINGUAL ONLINE COMMUNITY SURVEY, AN ONLINE EMPLOYEE SURVEY, AND LISTENING SESSIONS. THE COMMUNITY SURVEY WAS OPEN TO THE PUBLIC AND THE EMPLOYEE SURVEY WAS OPEN TO ALL EMPLOYEES OF EACH PARTNER ORGANIZATION. PARTICIPANTS IN LISTENING SESSIONS, FOCUS GROUPS, AND ONE-ON-ONE INTERVIEWS WERE INDIVIDUALS OR ORGANIZATIONS SERVING AND/OR REPRESENTING THE INTERESTS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND/OR MINORITY POPULATIONS IN THE COMMUNITY.IN FEBRUARY AND MARCH 2022, THE THOMOSS GROUP INTERVIEWED KEY STAKEHOLDERS WITH PARTICULAR EXPERTISE OR KNOWLEDGE OF THE VARIOUS SERVICE AREAS TO GAIN EACH COMMUNITY'S PERSPECTIVE. THIRTY-FIVE REPRESENTATIVES OF LOCAL AND REGIONAL PUBLIC HEALTH ENTITIES, MINORITY POPULATIONS, FAITH-BASED COMMUNITIES, LOCAL BUSINESS OWNERS, PHILANTHROPIC COMMUNITIES, MENTAL HEALTH AGENCIES, ELECTED OFFICIALS, AND INDIVIDUALS REPRESENTING OUR MOST VULNERABLE PATIENTS WERE INTERVIEWED.ADDITIONALLY, THE STAFF OF GOOD NEWS CLINICS, DISTRICT 2 PUBLIC HEALTH, AND THE HOUSING AUTHORITY CONDUCTED IN-PERSON INTERVIEWS WITH APPROXIMATELY 190 COMMUNITY MEMBERS REPRESENTING THOSE SETTINGS. THESE CONVERSATIONS WERE DESIGNED TO CAPTURE RESPONDENTS' PERCEPTIONS OF HOW WELL THEIR HEALTH CARE NEEDS WERE BEING MET AND WHAT OBSTACLES INTERFERED WITH THEIR NEEDS.EIGHT FOCUS GROUPS WERE CONDUCTED FOR THE FOLLOWING COMMUNITIES AND GROUPS, AND THE NUMBER OF PARTICIPANTS FOR EACH ARE NOTED IN PARENTHESES. -NGMC PRIMARY SERVICE AREA (15) -NGMC GREATER BRASELTON SERVICE AREA (11) -NGMC SECONDARY SERVICE AREA 400 (5) -NGMC SECONDARY SERVICE AREA NORTH (7) -HALL COUNTY FAMILY CONNECTION NETWORK (15) -AFRICAN AMERICAN STAKEHOLDERS, HOSTED BY THE NEWTOWN FLORIST CLUB (13) -GWINNETT HUMAN SERVICES DIVISION (5) -HISPANIC AND LATINO STAKEHOLDERS, HOSTED BY THE HISPANIC ALLIANCE (26)IN MARCH 2022, AN ELECTRONIC COMMUNITY-BASED SURVEY TO SOLICIT COMMUNITY INPUT WAS RELEASED AND WIDELY ADVERTISED TO THE COMMUNITY VIA PRESS RELEASES, PARTNER WEBSITES, AND SOCIAL MEDIA. SURVEY QUESTIONS CAN BE FOUND IN APPENDIX ELEVEN. APPROXIMATELY 4,200 COMMUNITY MEMBERS COMPLETED THE SURVEY, WHICH WAS AVAILABLE IN ENGLISH, SPANISH, AND VIETNAMESE. AN EMPLOYEE SURVEY WAS ALSO RELEASED THROUGH EACH PARTNER ORGANIZATION. APPROXIMATELY 460 EMPLOYEES THROUGHOUT ALL CHNA PARTNER ORGANIZATIONS RESPONDED.THE OUTCOME OF THE QUANTITATIVE ANALYSIS WAS THEN COMPARED WITH THE QUALITATIVE FINDINGS TO CREATE A LIST OF HEALTH NEEDS IN THE COMMUNITY. EACH HEALTH NEED WAS ASSIGNED TO ONE OF FOUR QUADRANTS IN A HEALTH NEEDS MATRIX WHICH PRIORITIZES HEALTH NEEDS AS: -LOW DATA + LOW QUALITATIVE: NEITHER THE BENCHMARK ANALYSIS NOR THE COMMUNITY DEMONSTRATED A PARTICULAR INDICATOR WAS A SIGNIFICANT ISSUE. -LOW DATA + HIGH QUALITATIVE: THE BENCHMARK ANALYSIS DID NOT IDENTIFY THE INDICATOR AS A COMPARATIVELY SIGNIFICANT PROBLEM BUT THE COMMUNITY MEMBERS INTERVIEWED OR SURVEYED RELAYED IT WAS AS SIGNIFICANT ISSUE. -HIGH DATA + LOW QUALITATIVE: THE BENCHMARK ANALYSIS SHOWS A PARTICULAR INDICATOR WAS AN ISSUE BUT IT WAS NOT MENTIONED OFTEN, IF AT ALL, BY COMMUNITY MEMBERS INTERVIEWED OR SURVEYED. -HIGH DATA + HIGH QUALITATIVE: BOTH THE COMMUNITY AND THE BENCHMARK ANALYSIS IDENTIFIED A PARTICULAR INDICATOR AS A SIGNIFICANT ISSUE.THIS HELPED THE CHNA PARTNERS TO IDENTIFY THE TOP HEALTH NEEDS FOR EACH COMMUNITY. NEEDS CATEGORIZED AS HIGH DATA AND HIGH QUALITATIVE WERE FURTHER ANALYZED DURING THE PRIORITIZATION PROCESS.IN MAY 2022, THE CHNA PARTNERS AND ADVISORS CONSISTING OF BOARD MEMBERS AND COMMUNITY LEADERS HOSTED THREE PRIORITIZATION SESSIONS TO DETERMINE THE PRIORITIES EACH ENTITY WOULD ADDRESS OVER THE NEXT THREE YEARS. CRITERIA USED TO SELECT THE PRIORITIES INCLUDED: -ROOT CAUSE AND DISPROPORTIONATE IMPACT ON DISADVANTAGED COMMUNITY MEMBERS -MAGNITUDE AND EXTENT OF THE ISSUE WITHIN THE COMMUNITY -ABILITY OF CHNA PARTNERS TO MAKE AN IMPACT ON THE ISSUEAS A RESULT OF THIS PROCESS, THE FOLLOWING HEALTH PRIORITIES WERE IDENTIFIED FOR NGMC HOSPITALS: -ACCESS TO CARE -MENTAL AND BEHAVIORAL HEALTH -HEALTHY BEHAVIORSFOR EACH PRIORITY, NGMC WILL WORK TO ACHIEVE GREATER HEALTH EQUITY BY REDUCING THE IMPACT OF POVERTY AND OTHER SOCIOECONOMIC INDICATORS ON THAT PRIORITY BY IMPLEMENTING PROGRAMMING AND INVESTMENT IN AREAS THAT DIRECTLY ADDRESS ISSUES RELATED TO INCOME AND POVERTY AND INDIVIDUALS WHO FACE PARTICULAR CHALLENGES IN ACCESSING CARE DUE TO DISABILITY, RACE, ENGLISH PROFICIENCY, EDUCATIONAL ATTAINMENT, AND OTHER AREAS OF SOCIOECONOMIC STATUS.THE FULL CHNA REPORT IS PUBLICLY AVAILABLE AT NGHS.COM/COMMUNITY-BENEFIT-RESOURCES.AN INTERACTIVE DATA PLATFORM CREATED THROUGH TABLEAU IS AVAILABLE TO ALL COMMUNITY MEMBERS AT NORTHEASTGEORGIACHNA.COM. THIS PLATFORM PROVIDES ACCESS TO BOTH ZIP CODE AND COUNTY-LEVEL PUBLIC HEALTH INDICATORS FOUND THROUGHOUT THE CHNA, INCLUDING DEMOGRAPHICS, SOCIOECONOMIC INDICATORS, DISEASE PREVALENCE, INSURANCE COVERAGE, AND PREVENTABLE HOSPITALIZATIONS. ADDITIONALLY, DOWNLOADABLE DATA SHEETS FOR EACH SERVICE AREA ARE AVAILABLE THAT PROVIDE A SUMMARY OF KEY HEALTH, ECONOMIC, AND DEMOGRAPHIC INDICATORS. DOWNLOADABLE DATA SHEETS RELEVANT TO THE SERVICE AREAS ARE AVAILABLE TO THE COMMUNITY AT NGHS.COM/COMMUNITY-BENEFIT-RESOURCES.BOTH THE CHNA AND THE SUBSEQUENT IMPLEMENTATION STRATEGIES WERE DESIGNED TO FULLY MEET INTERNAL REVENUE SERVICE REGULATIONS, AS FOUND IN THE INTERNAL REVENUE CODE SECTION 501(R).
NGMC LUMPKIN LLC	PART V, SECTION B, LINE 5: THE FOLLOWING ORGANIZATIONS HAVE PARTNERED AND COLLABORATED TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) FOR COMMUNITIES THEY (CHNA PARTNERS) SERVE IN NORTHEASTERN GEORGIA: -DISTRICT 2 PUBLIC HEALTH -HABERSHAM MEDICAL CENTER -GOOD NEWS CLINICS -NORTHEAST GEORGIA MEDICAL CENTER GAINESVILLE -NORTHEAST GEORGIA MEDICAL CENTER BRASELTON -NORTHEAST GEORGIA MEDICAL CENTER BARROW -NORTHEAST GEORGIA MEDICAL CENTER LUMPKIN -STEPHENS COUNTY HOSPITALTHROUGH THIS ASSESSMENT, THE CHNA PARTNERS WORKED TO BETTER UNDERSTAND LOCAL HEALTH CHALLENGES, IDENTIFY HEALTH TRENDS, DETERMINE GAPS IN THE CURRENT HEALTH DELIVERY SYSTEM, AND CRAFT A PLAN TO ADDRESS THOSE GAPS AND THE IDENTIFIED HEALTH NEEDS. THE COMMUNITIES SERVED BY EACH OF THE PARTNERS OVERLAPPED AND COMBINED TO INCLUDE ALL OR PART OF 14 COUNTIES IN NORTHEAST GEORGIA. THESE COMMUNITIES REFLECT THE FOLLOWING SERVICE AREAS: -HABERSHAM MEDICAL CENTER (HMC): HABERSHAM, BANKS, AND RABUN COUNTIES -NGMC PRIMARY SERVICE AREA (PSA): HALL COUNTY -NGMC GREATER BRASELTON SERVICE AREA (GBSA): BARROW AND JACKSON COUNTIES, PARTS OF GWINNETT AND HALL COUNTIES -NGMC SECONDARY SERVICE AREA 400 (SSA 400): DAWSON AND LUMPKIN COUNTIES -NGMC SECONDARY SERVICE AREA NORTH (SSA NORTH): BANKS, HABERSHAM, RABUN, STEPHENS, TOWNS, UNION, AND WHITE COUNTIES -STEPHENS COUNTY HOSPITAL (SCH): STEPHENS AND FRANKLIN COUNTIESPUBLIC GOODS GROUP (PGG) WAS ENGAGED BY THE PARTNERS TO COLLECT AND ANALYZE QUANTITATIVE DATA FOR THE CHNA AND OVER 190 PUBLIC HEALTH INDICATORS WERE EXAMINED IN THE COMMUNITIES REPRESENTED WITHIN THE ABOVE-NAMED NORTHEAST GEORGIA COMMUNITIES.A QUALITATIVE ASSESSMENT WAS THEN CONDUCTED TO SOLICIT THE INPUT OF MORE THAN 4,900 PEOPLE THROUGH SIX CHANNELS: FOCUS GROUPS, INTERVIEWS, IN-PERSON SURVEYS, A MULTI-LINGUAL ONLINE COMMUNITY SURVEY, AN ONLINE EMPLOYEE SURVEY, AND LISTENING SESSIONS. THE COMMUNITY SURVEY WAS OPEN TO THE PUBLIC AND THE EMPLOYEE SURVEY WAS OPEN TO ALL EMPLOYEES OF EACH PARTNER ORGANIZATION. PARTICIPANTS IN LISTENING SESSIONS, FOCUS GROUPS, AND ONE-ON-ONE INTERVIEWS WERE INDIVIDUALS OR ORGANIZATIONS SERVING AND/OR REPRESENTING THE INTERESTS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND/OR MINORITY POPULATIONS IN THE COMMUNITY.IN FEBRUARY AND MARCH 2022, THE THOMOSS GROUP INTERVIEWED KEY STAKEHOLDERS WITH PARTICULAR EXPERTISE OR KNOWLEDGE OF THE VARIOUS SERVICE AREAS TO GAIN EACH COMMUNITY'S PERSPECTIVE. THIRTY-FIVE REPRESENTATIVES OF LOCAL AND REGIONAL PUBLIC HEALTH ENTITIES, MINORITY POPULATIONS, FAITH-BASED COMMUNITIES, LOCAL BUSINESS OWNERS, PHILANTHROPIC COMMUNITIES, MENTAL HEALTH AGENCIES, ELECTED OFFICIALS, AND INDIVIDUALS REPRESENTING OUR MOST VULNERABLE PATIENTS WERE INTERVIEWED.ADDITIONALLY, THE STAFF OF GOOD NEWS CLINICS, DISTRICT 2 PUBLIC HEALTH, AND THE HOUSING AUTHORITY CONDUCTED IN-PERSON INTERVIEWS WITH APPROXIMATELY 190 COMMUNITY MEMBERS REPRESENTING THOSE SETTINGS. THESE CONVERSATIONS WERE DESIGNED TO CAPTURE RESPONDENTS' PERCEPTIONS OF HOW WELL THEIR HEALTH CARE NEEDS WERE BEING MET AND WHAT OBSTACLES INTERFERED WITH THEIR NEEDS.EIGHT FOCUS GROUPS WERE CONDUCTED FOR THE FOLLOWING COMMUNITIES AND GROUPS, AND THE NUMBER OF PARTICIPANTS FOR EACH ARE NOTED IN PARENTHESES. -NGMC PRIMARY SERVICE AREA (15) -NGMC GREATER BRASELTON SERVICE AREA (11) -NGMC SECONDARY SERVICE AREA 400 (5) -NGMC SECONDARY SERVICE AREA NORTH (7) -HALL COUNTY FAMILY CONNECTION NETWORK (15) -AFRICAN AMERICAN STAKEHOLDERS, HOSTED BY THE NEWTOWN FLORIST CLUB (13) -GWINNETT HUMAN SERVICES DIVISION (5) -HISPANIC AND LATINO STAKEHOLDERS, HOSTED BY THE HISPANIC ALLIANCE (26)IN MARCH 2022, AN ELECTRONIC COMMUNITY-BASED SURVEY TO SOLICIT COMMUNITY INPUT WAS RELEASED AND WIDELY ADVERTISED TO THE COMMUNITY VIA PRESS RELEASES, PARTNER WEBSITES, AND SOCIAL MEDIA. SURVEY QUESTIONS CAN BE FOUND IN APPENDIX ELEVEN. APPROXIMATELY 4,200 COMMUNITY MEMBERS COMPLETED THE SURVEY, WHICH WAS AVAILABLE IN ENGLISH, SPANISH, AND VIETNAMESE. AN EMPLOYEE SURVEY WAS ALSO RELEASED THROUGH EACH PARTNER ORGANIZATION. APPROXIMATELY 460 EMPLOYEES THROUGHOUT ALL CHNA PARTNER ORGANIZATIONS RESPONDED.THE OUTCOME OF THE QUANTITATIVE ANALYSIS WAS THEN COMPARED WITH THE QUALITATIVE FINDINGS TO CREATE A LIST OF HEALTH NEEDS IN THE COMMUNITY. EACH HEALTH NEED WAS ASSIGNED TO ONE OF FOUR QUADRANTS IN A HEALTH NEEDS MATRIX WHICH PRIORITIZES HEALTH NEEDS AS: -LOW DATA + LOW QUALITATIVE: NEITHER THE BENCHMARK ANALYSIS NOR THE COMMUNITY DEMONSTRATED A PARTICULAR INDICATOR WAS A SIGNIFICANT ISSUE. -LOW DATA + HIGH QUALITATIVE: THE BENCHMARK ANALYSIS DID NOT IDENTIFY THE INDICATOR AS A COMPARATIVELY SIGNIFICANT PROBLEM BUT THE COMMUNITY MEMBERS INTERVIEWED OR SURVEYED RELAYED IT WAS AS SIGNIFICANT ISSUE. -HIGH DATA + LOW QUALITATIVE: THE BENCHMARK ANALYSIS SHOWS A PARTICULAR INDICATOR WAS AN ISSUE BUT IT WAS NOT MENTIONED OFTEN, IF AT ALL, BY COMMUNITY MEMBERS INTERVIEWED OR SURVEYED. -HIGH DATA + HIGH QUALITATIVE: BOTH THE COMMUNITY AND THE BENCHMARK ANALYSIS IDENTIFIED A PARTICULAR INDICATOR AS A SIGNIFICANT ISSUE.THIS HELPED THE CHNA PARTNERS TO IDENTIFY THE TOP HEALTH NEEDS FOR EACH COMMUNITY. NEEDS CATEGORIZED AS HIGH DATA AND HIGH QUALITATIVE WERE FURTHER ANALYZED DURING THE PRIORITIZATION PROCESS.IN MAY 2022, THE CHNA PARTNERS AND ADVISORS CONSISTING OF BOARD MEMBERS AND COMMUNITY LEADERS HOSTED THREE PRIORITIZATION SESSIONS TO DETERMINE THE PRIORITIES EACH ENTITY WOULD ADDRESS OVER THE NEXT THREE YEARS. CRITERIA USED TO SELECT THE PRIORITIES INCLUDED: -ROOT CAUSE AND DISPROPORTIONATE IMPACT ON DISADVANTAGED COMMUNITY MEMBERS -MAGNITUDE AND EXTENT OF THE ISSUE WITHIN THE COMMUNITY -ABILITY OF CHNA PARTNERS TO MAKE AN IMPACT ON THE ISSUEAS A RESULT OF THIS PROCESS, THE FOLLOWING HEALTH PRIORITIES WERE IDENTIFIED FOR NGMC HOSPITALS: -ACCESS TO CARE -MENTAL AND BEHAVIORAL HEALTH -HEALTHY BEHAVIORSFOR EACH PRIORITY, NGMC WILL WORK TO ACHIEVE GREATER HEALTH EQUITY BY REDUCING THE IMPACT OF POVERTY AND OTHER SOCIOECONOMIC INDICATORS ON THAT PRIORITY BY IMPLEMENTING PROGRAMMING AND INVESTMENT IN AREAS THAT DIRECTLY ADDRESS ISSUES RELATED TO INCOME AND POVERTY AND INDIVIDUALS WHO FACE PARTICULAR CHALLENGES IN ACCESSING CARE DUE TO DISABILITY, RACE, ENGLISH PROFICIENCY, EDUCATIONAL ATTAINMENT, AND OTHER AREAS OF SOCIOECONOMIC STATUS.THE FULL CHNA REPORT IS PUBLICLY AVAILABLE AT NGHS.COM/COMMUNITY-BENEFIT-RESOURCES.AN INTERACTIVE DATA PLATFORM CREATED THROUGH TABLEAU IS AVAILABLE TO ALL COMMUNITY MEMBERS AT NORTHEASTGEORGIACHNA.COM. THIS PLATFORM PROVIDES ACCESS TO BOTH ZIP CODE AND COUNTY-LEVEL PUBLIC HEALTH INDICATORS FOUND THROUGHOUT THE CHNA, INCLUDING DEMOGRAPHICS, SOCIOECONOMIC INDICATORS, DISEASE PREVALENCE, INSURANCE COVERAGE, AND PREVENTABLE HOSPITALIZATIONS. ADDITIONALLY, DOWNLOADABLE DATA SHEETS FOR EACH SERVICE AREA ARE AVAILABLE THAT PROVIDE A SUMMARY OF KEY HEALTH, ECONOMIC, AND DEMOGRAPHIC INDICATORS. DOWNLOADABLE DATA SHEETS RELEVANT TO THE SERVICE AREAS ARE AVAILABLE TO THE COMMUNITY AT NGHS.COM/COMMUNITY-BENEFIT-RESOURCES.BOTH THE CHNA AND THE SUBSEQUENT IMPLEMENTATION STRATEGIES WERE DESIGNED TO FULLY MEET INTERNAL REVENUE SERVICE REGULATIONS, AS FOUND IN THE INTERNAL REVENUE CODE SECTION 501(R).
NGMC BARROW LLC	PART V, SECTION B, LINE 6A: THE FOLLOWING HOSPITAL FACILITIES WERE INCLUDED IN THE CHNA: -NORTHEAST GEORGIA MEDICAL CENTER GAINESVILLE -NORTHEAST GEORGIA MEDICAL CENTER BRASELTON -NORTHEAST GEORGIA MEDICAL CENTER BARROW -NORTHEAST GEORGIA MEDICAL CENTER LUMPKIN -HABERSHAM MEDICAL CENTER -STEPHENS COUNTY HOSPITAL
NGMC LUMPKIN LLC	PART V, SECTION B, LINE 6A: THE FOLLOWING HOSPITAL FACILITIES WERE INCLUDED IN THE CHNA: -NORTHEAST GEORGIA MEDICAL CENTER GAINESVILLE -NORTHEAST GEORGIA MEDICAL CENTER BRASELTON -NORTHEAST GEORGIA MEDICAL CENTER BARROW -NORTHEAST GEORGIA MEDICAL CENTER LUMPKIN -HABERSHAM MEDICAL CENTER - HABERSHAM MEDICAL CENTER - STEPHENS COUNTY HOSPITAL
NGMC BARROW LLC	PART V, SECTION B, LINE 6B: THE FOLLOWING ORGANIZATION PARTNERED AND COLLABORATED IN OUR REGIONAL COMMUNITY HEALTH NEEDS ASSESSMENT -DISTRICT 2 PUBLIC HEALTH -GOOD NEWS CLINICS
NGMC LUMPKIN LLC	PART V, SECTION B, LINE 6B: THE FOLLOWING ORGANIZATION PARTNERED AND COLLABORATED IN OUR REGIONAL COMMUNITY HEALTH NEEDS ASSESSMENT -DISTRICT 2 PUBLIC HEALTH -GOOD NEWS CLINICS
NGMC BARROW LLC	PART V, SECTION B, LINE 11: NORTHEAST GEORGIA MEDICAL CENTER DEFINED FOUR COMMUNITIES SERVED BY THEIR FOUR HOSPITAL FACILITIES: NGMC GREATER BRASELTON SERVICE AREA (GBSA), NGMC PRIMARY SERVICE AREA (PSA), NGMC SECONDARY SERVICE AREA 400 (SSA 400), AND NGMC SECONDARY SERVICE AREA NORTH (SSA NORTH). BASED ON RESULTS OF THE 2022 CHNA, THE FOLLOWING THREE PRIORITIES WERE ADOPTED BY THE ORGANIZATION AND REPRESENT THOSE ON WHICH WE CAN HAVE THE MOST IMPACT BASED ON PRIORITIZATION CRITERIA: -BEHAVIORAL AND MENTAL HEALTH (ALL NGMC SERVICE AREAS) -ACCESS TO CARE (ALL NGMC SERVICE AREAS) -HEALTHY BEHAVIORS (ALL NGMC SERVICE AREAS)FOR DETAILS ON HOW NGMC IS ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA, GO TO: HTTPS://WWW.NGHS.COM/COMMUNITY-BENEFIT-RESOURCES, GO TO INITIATIVES AND ACTIVITIES, AND CLICK ON 2023 2025 IMPLEMENTATION PLAN.THE HEALTH NEEDS THE SYSTEM CHOSE NOT TO ADDRESS THROUGH THE PRIORITIZATION PROCESS INCLUDE THE FOLLOWING, BROKEN DOWN BY SERVICE AREA: -NGMC PSA: FOOD ACCESS AND NUTRITION, MATERNAL AND CHILD HEALTH, SOCIAL ISOLATION. -NGMC GBSA: MATERNAL AND CHILD HEALTH, PHYSICAL ACTIVITY, INJURY AND DEATH, VIOLENCE, CHILD ABUSE, INCOME, EDUCATION, ACCESS TO DENTAL CARE, CANCER, TRANSPORTATION. -NGMC SSA NORTH: MATERNAL AND CHILD HEALTH, CARDIOVASCULAR DISEASE, INCOME, PHYSICAL ACTIVITY, VIOLENCE, CHILD ABUSE, EDUCATION, ACCESS TO DENTAL CARE, EMPLOYMENT, CEREBROVASCULAR DISEASE, SOCIAL ISOLATION, CANCER, COPD AND RESPIRATORY DISEASE, INJURY, AND DEATH. -NGMC SSA 400: MATERNAL AND CHILD HEALTH, SMOKING, VIOLENCE/CHILD ABUSE, INCOME, ACCESS TO DENTAL CARE, SOCIAL ISOLATION, CANCER, TRANSPORTATION.EVEN SO, NGMC DOES ACTIVELY WORK ON THESE ISSUES. FOR INSTANCE, ACCESS TO CARE IS A PRIORITY ACROSS THE REGION AND WHILE TRANSPORTATION WAS NOT SINGLED OUT AS A PRIORITY, WE CONSIDER TRANSPORTATION TO BE A KEY COMPONENT TO ACCESSING CARE. WHILE TRANSPORTATION ON ITS OWN DID NOT MAKE THE HEALTH PRIORITY LIST, IT WOULD BE AN ISSUE CONSIDERED IN ACCESS TO CARE ISSUES. WHILE CANCER WAS NOT CHOSEN AS A COMMUNITY HEALTH IMPROVEMENT PRIORITY, NGMC ALREADY HAS AN INTERNAL EMPHASIS ON THIS HEALTH ISSUE AND WILL REPORT ITS ACTIVITY VIA THE ANNUAL COMMUNITY BENEFIT REPORT.
NGMC LUMPKIN LLC	PART V, SECTION B, LINE 11: NORTHEAST GEORGIA MEDICAL CENTER DEFINED FOUR COMMUNITIES SERVED BY THEIR FOUR HOSPITAL FACILITIES: NGMC GREATER BRASELTON SERVICE AREA (GBSA), NGMC PRIMARY SERVICE AREA (PSA), NGMC SECONDARY SERVICE AREA 400 (SSA 400), AND NGMC SECONDARY SERVICE AREA NORTH (SSA NORTH). BASED ON RESULTS OF THE 2022 CHNA, THE FOLLOWING THREE PRIORITIES WERE ADOPTED BY THE ORGANIZATION AND REPRESENT THOSE ON WHICH WE CAN HAVE THE MOST IMPACT BASED ON PRIORITIZATION CRITERIA: -BEHAVIORAL AND MENTAL HEALTH (ALL NGMC SERVICE AREAS) -ACCESS TO CARE (ALL NGMC SERVICE AREAS) -HEALTHY BEHAVIORS (ALL NGMC SERVICE AREAS)FOR DETAILS ON HOW NGMC IS ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA, GO TO: HTTPS://WWW.NGHS.COM/COMMUNITY-BENEFIT-RESOURCES, GO TO INITIATIVES AND ACTIVITIES, AND CLICK ON 2023 2025 IMPLEMENTATION PLAN.THE HEALTH NEEDS THE SYSTEM CHOSE NOT TO ADDRESS THROUGH THE PRIORITIZATION PROCESS INCLUDE THE FOLLOWING, BROKEN DOWN BY SERVICE AREA: -NGMC PSA: FOOD ACCESS AND NUTRITION, MATERNAL AND CHILD HEALTH, SOCIAL ISOLATION. -NGMC GBSA: MATERNAL AND CHILD HEALTH, PHYSICAL ACTIVITY, INJURY AND DEATH, VIOLENCE, CHILD ABUSE, INCOME, EDUCATION, ACCESS TO DENTAL CARE, CANCER, TRANSPORTATION. -NGMC SSA NORTH: MATERNAL AND CHILD HEALTH, CARDIOVASCULAR DISEASE, INCOME, PHYSICAL ACTIVITY, VIOLENCE, CHILD ABUSE, EDUCATION, ACCESS TO DENTAL CARE, EMPLOYMENT, CEREBROVASCULAR DISEASE, SOCIAL ISOLATION, CANCER, COPD AND RESPIRATORY DISEASE, INJURY, AND DEATH. -NGMC SSA 400: MATERNAL AND CHILD HEALTH, SMOKING, VIOLENCE/CHILD ABUSE, INCOME, ACCESS TO DENTAL CARE, SOCIAL ISOLATION, CANCER, TRANSPORTATION.EVEN SO, NGMC DOES ACTIVELY WORK ON THESE ISSUES. FOR INSTANCE, ACCESS TO CARE IS A PRIORITY ACROSS THE REGION AND WHILE TRANSPORTATION WAS NOT SINGLED OUT AS A PRIORITY, WE CONSIDER TRANSPORTATION TO BE A KEY COMPONENT TO ACCESSING CARE. WHILE TRANSPORTATION ON ITS OWN DID NOT MAKE THE HEALTH PRIORITY LIST, IT WOULD BE AN ISSUE CONSIDERED IN ACCESS TO CARE ISSUES. WHILE CANCER WAS NOT CHOSEN AS A COMMUNITY HEALTH IMPROVEMENT PRIORITY, NGMC ALREADY HAS AN INTERNAL EMPHASIS ON THIS HEALTH ISSUE AND WILL REPORT ITS ACTIVITY VIA THE ANNUAL COMMUNITY BENEFIT REPORT.
NGMC BARROW LLC	PART V, SECTION B, LINE 16J: PATIENTS MAY SUBMIT A FINANCIAL ASSISTANCE APPLICATION VIA THE ONLINE PATIENT PORTAL OR MYCHART APP.
NGMC LUMPKIN LLC	PART V, SECTION B, LINE 16J: PATIENTS MAY SUBMIT A FINANCIAL ASSISTANCE APPLICATION VIA THE ONLINE PATIENT PORTAL OR MYCHART APP.

Schedule H (Form 990) 2021

Page 9

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?14
Name and address		Type of Facility (describe)
1	1 - GEORGIA HEART INSTITUTE GAINESVILLE 200 SOUTH ENOTA DRIVE SUITE 100/SUITE 2 GAINESVILLE,GA30501	CARDIOLOGY
2	2 - GEORGIA HEART INSTITUTE BLAIRSVILLE 346 DEEP SOUTH FARM ROAD SUITE B BLAIRSVILLE,GA30512	CARDIOLOGY
3	3 - GEORGIA HEART INSTITUTE CUMMING 900 SANDERS ROAD SUITE A CUMMING,GA30041	CARDIOLOGY
4	4 - GEORGIA HEART INSTITUTE BUFORD 4445 SOUTH LEE STREET SUITE 300 BUFORD,GA30518	CARDIOLOGY
5	5 - GEORGIA HEART INSTITUTE CLAYTON 536 HIGHWAY 441 S CLAYTON,GA30525	CARDIOLOGY
6	6 - GEORGIA HEART INSTITUTE DAHLONEGA 70 MOUNTAIN DRIVE SUITE C DAHLONEGA,GA30533	CARDIOLOGY
7	7 - GEORGIA HEART INSTITUTE TOCCOA 288 BIG A RD TOCCOA,GA30577	CARDIOLOGY
8	8 - GEORGIA HEART INSTITUTE DEMOREST (HABERSHA 590 OLD HISTORIC US 441 DEMOREST,GA30535	CARDIOLOGY
9	9 - GEORGIA HEART INSTITUTE DAWSONVILLE 108 PROMINENCE COURT SUITE 210 DAWSONVILLE,GA30534	CARDIOLOGY
10	10 - GEORGIA HEART INSTITUTE HAMILTON MILL 3575 BRASELTON HWY DACULA,GA30019	CARDIOLOGY
11	11 - GEORGIA HEART INSTITUTE COMMERCE 170 CARDIOLOGY PLACE COMMERCE,GA30529	CARDIOLOGY
12	12 - GEORGIA HEART INSTITUTE BETHLEHEM 426 EXCHANGE BLVD SUITE 600 BETHELHEM,GA30620	CARDIOLOGY
13	13 - GEORGIA HEART INSTITUTE OF NGMC AT NGDC 1240 JESSE JEWELL PARKWAY SOUTHEAST SUI GAINESVILLE,GA30501	CARDIOLOGY
14	14 - GEORGIA HEART INSTITUTE BRASELTON 1404 RIVER PLACE SUITE 501 BRASELTON,GA30517	CARDIOLOGY

Schedule H (Form 990) 2021

Page 10

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
PART I, LINE 3C:	PATIENTS WHO ARE DETERMINED TO BE INDIGENT BASED UPON CRITERIA-BASED METHODS (E.G. PROPENSITY TO PAY/HEALTH SCORE, PARTICIPATION IN LOW INCOME GOVERNMENT PROGRAM) MAY BE PRESUMPTIVELY ELIGIBLE FOR ASSISTANCE PROVIDING THEY COOPERATE WITH SCREENING FOR OTHER FINANCIAL ASSISTANCE RESOURCES (E.G. MEDICAID, DISABILITY), AS APPLICABLE.
PART I, LINE 6A:	THE COMMUNITY BENEFIT REPORT IS PUBLISHED BY NORTHEAST GEORGIA HEALTH SYSTEM AND INCLUDES PROGRAMS FOR NORTHEAST GEORGIA MEDICAL CENTER AND ITS AFFILIATES, INCLUDING NGMC BARROW AND NGMC LUMPKIN. THE REPORT IS AVAILABLE ON THE ORGANIZATION'S WEBSITE (WWW.NGHS.COM) AND IS ALSO PUBLISHED ANNUALLY IN ITS MAGAZINE, COMMUNICARE.
PART I, LINE 7:	CHARITY CARE COST WAS CALCULATED APPLYING A COST-TO-CHARGE RATIO THAT WAS COMPUTED PURSUANT TO WORKSHEET 2 IN THE SCHEDULE H INSTRUCTIONS.THE CCR FOR THE UNREIMBURSED MEDICAID SERVICES WAS COMPUTED USING A CCR COMPUTED PURSUANT TO WORKSHEET 2 IN THE SCHEDULE H INSTRUCTIONS. OTHER MEANS TESTED GOVERNMENT PROGRAM COST, IF NOTED, WAS DERIVED FROM INTERNAL TRENDSTAR SYSTEM DATA WHICH COMPUTED COST AT THE PATIENT DETAIL LEVEL.IN ADDITION, NGHS HAS MULTIPLE ACTIVITIES WITHIN THE ORGANIZATION THAT DO NOT FALL UNDER THE OPERATIONS OF THE HOSPITALS, NGMC BARROW OR NGMC LUMPKIN. THE INSTRUCTIONS FOR SCHEDULE H, PART I, LINE 7, COLUMN (F) STATE THAT THE PERCENTAGE IS TO BE CALCULATED USING THE TOTAL EXPENSES FROM FORM 990, PART IX, LINE 25, COLUMN (A) LESS BAD DEBT EXPENSE. THEREFORE, THE REPORTED PERCENTAGES ARE RELATIVE TO ALL NGHS EXPENSES, NOT JUST THE EXPENSES ATTRIBUTABLE TO THE HOSPITAL OPERATIONS OF NGMC BARROW AND NGMC LUMPKIN.
PART I, LN 7 COL(F):	NGMC BARROW:THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 24, COLUMN D, BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $9,995,910 FOR NGMC BARROW. THE ESTIMATED PROVISION FOR BAD DEBTS IS REPORTED AS A DEDUCTION FROM PATIENT SERVICE REVENUE.NGMC LUMPKIN:THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 24, COLUMN D, BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $6,909,051 FOR NGMC LUMPKIN. THE ESTIMATED PROVISION FOR BAD DEBTS IS REPORTED AS A DEDUCTION FROM PATIENT SERVICE REVENUE.
PART II, COMMUNITY BUILDING ACTIVITIES:	NGMC BARROWNGMC BARROW CONDUCTED A VARIETY OF COMMUNITY BUILDING ACTIVITIES PROMOTING THE HEALTH OF ITS COMMUNITY IN FY22. SUCH PROGRAMS ACTIVATED AWARENESS AROUND CHILDREN'S SAFETY, COMMUNITY HEALTH EDUCATION, AND MENTAL HEALTH.SAFE KIDS NORTHEAST GEORGIA: NGMC BARROW SERVED AS THE LEAD AGENCY FOR SAFE KIDS NORTHEAST GEORGIA, REDUCING UNINTENTIONAL INJURIES AND DEATH IN CHILDREN 19 AND UNDER. IN FY22, SAFE KIDS PROVIDED TWO PROGRAMS AND EVENTS IN THE BARROW AREA, WITH OUTREACH TO OVER 650 CHILDREN AND THEIR FAMILY MEMBERS, TEACHERS, AND CAREGIVERS. THESE PROGRAMS DISTRIBUTED SAFETY ITEMS TO FAMILIES WHO NEEDED THEM, INCLUDING 125 HELMETS AND $2,549 WORTH OF BOOSTER SEATS. SAFE KIDS WAS FUNDED BY THE NGHS FOUNDATION. OVERALL SUPPORT CAME AT A COST OF $4,844 FOR NGMC BARROW IN FY22.STROKE EDUCATION AND OUTREACH: IN FY22, STAFF FROM THE NGMC BARROW STROKE UNIT PROVIDED EDUCATION TO THE COMMUNITY ABOUT STROKE PREVENTION, SYMPTOMS, RISK FACTORS, AND ACTIONS TO TAKE. EDUCATIONAL DEMONSTRATIONS WERE PROVIDED AT SEVERAL COMMUNITY EVENTS. THESE HEALTH EDUCATION ENGAGEMENTS CAME AT A COST OF $320 FOR NGMC BARROW IN FY22.QPR TRAINING FOR MENTAL HEALTH: QPR SUICIDE PREVENTION TRAINING WAS PROVIDED TO 300 INDIVIDUALS AT AN EXPENSE OF $1,455 TO NGMC BARROW IN FY22.THIS IMPORTANT TRAINING TEACHES HOW TO: ASK THE SUICIDE QUESTION, PERSUADE THE PERSON TO STAY ALIVE, AND THEN REFER THE PERSON TO THE APPROPRIATE SUPPORT.WE REGULARLY MONITOR THE COUNTY HEALTH RANKINGS PUBLISHED BY THE ROBERT WOOD JOHNSON FOUNDATION (HTTP://WWW.COUNTYHEALTHRANKINGS.ORG/ABOUT-PROJECT), AS WELL AS CDC WONDER AND OTHER PUBLICLY AVAILABLE INFORMATION. NGMC ANNUALLY REPORTS ON THE PROGRESS OF CHNA OUTCOMES AND ACTIVITIES, WHICH INCLUDES QUANTITATIVE INFORMATION ON IDENTIFIED HEALTH NEEDS.NGMC CONTINUES TO LEAD THE WAY IN LIFE-SAVING HEART AND VASCULAR CARE BY BECOMING THE FIRST HEALTH SYSTEM IN THE STATE WITH HOSPITALS DESIGNATED AS EMERGENCY CARDIAC CARE CENTERS BY THE GEORGIA DEPARTMENT OF PUBLIC HEALTH (DPH), WHICH THE SYSTEM MAINTAINED IN FY22. THIS ACHIEVEMENT EXTENDS FAR BEYOND THE WALLS OF OUR SYSTEM CONNECTING FIRST RESPONDERS, EMERGENCY DEPARTMENTS AND CARDIOLOGISTS THROUGHOUT THE REGION TO ENSURE EACH PATIENT RECEIVES THE LEVEL OF CARE THEY NEED.THE GEORGIA DPH USES A THREE-LEVEL DESIGNATION SYSTEM TO RANK THE CAPABILITIES OF EACH FACILITY:- NGMC GAINESVILLE RECEIVED LEVEL 1 DESIGNATION (HOSPITALS PERFORM OPEN HEART SURGERY AND INTERVENTIONAL CARDIAC CATHETERIZATIONS).- NGMC BRASELTON RECEIVED LEVEL 2 DESIGNATION (HOSPITALS PERFORM INTERVENTIONAL CARDIAC CATHETERIZATIONS).- NGMC BARROW AND NGMC LUMPKIN BOTH RECEIVED LEVEL 3 DESIGNATION (HOSPITALS STABILIZE PATIENTS UNTIL THEY ARE TRANSPORTED TO A LEVEL 1 OR LEVEL 2 CENTER).NGMC LUMPKINNGMC LUMPKIN DIRECTOR KAY HALL SERVED ON THE BOARD OF THE LUMPKIN COUNTY COMMUNITY HELPING PLACE, WHICH PROVIDES A FREE MEDICAL CLINIC, CLOTHES CLOSET, FOOD PANTRY AND OTHER TANGIBLES SUCH AS MONETARY DONATIONS FOR ELECTRICITY, TRANSPORTATION TO MD OFFICES, COMMUNITY NAVIGATION AND HAS JUST BEGUN WITH MENTAL HEALTH SERVICES. HAVING A CONNECTION ON THIS BOARD HAS SUPPORTED THE PARTNERSHIP IN PLACE TO PROVIDE MEDICAL CARE FOR LOW-INCOME COMMUNITY MEMBERS. THIS SUPPORT CAME AT A COST OF $3,227 FOR NGMC LUMPKIN FY22.
PART III, LINE 2:	PATIENT ACCOUNTS RECEIVABLE ARE REDUCED BY AN ESTIMATED ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, NORTHEAST GEORGIA HEALTH SYSTEM (THE SYSTEM) ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ESTIMATED ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS.
PART III, LINE 4:	BAD DEBT EXPENSE REPORTED ON LINE 2 REPRESENTS GROSS CHARGES WRITTEN OFF DURING THE FISCAL YEAR NET OF ANY RECOVERIES. BAD DEBTS ARE DISCUSSED IN THE FOOTNOTES AS A COMPONENT OF NET PATIENT SERVICE REVENUE, BUT DO NOT HAVE THEIR OWN FOOTNOTE.
PART III, LINE 8:	THE MEDICARE COSTS SHOWN ON LINE 6 WERE COMPUTED USING THE COST TO CHARGE METHODOLOGY REFLECTED IN THE ORGANIZATION'S MEDICARE COST REPORT.
PART III, LINE 9B:	EACH BILLING CYCLE FOR THE FIRST 120 DAYS OF STATEMENTS CONTAINS CONTACT INFORMATION FOR FINANCIAL ASSISTANCE INFORMATION. A PLAIN LANGUAGE SUMMARY OF OUR FINANCIAL ASSISTANCE POLICY IS PROVIDED AT DAY 90. FOR DAYS 121-180, TWO BAD DEBT COLLECTION LETTERS ARE MAILED WITH CONTACT INFORMATION FOR FINANCIAL ASSISTANCE INFORMATION. DURING THE 180 DAYS PRIOR TO PLACEMENT WITH AN EXTERNAL COLLECTION AGENCY, REGULAR PHONE CALLS ARE MADE THAT INCLUDE NOTIFICATION OF THE FINANCIAL ASSISTANCE POLICY AND HOW TO OBTAIN ASSISTANCE WITH THE APPLICATION PROCESS. DURING THE FIRST 60 DAYS OF PLACEMENT WITH AN EXTERNAL COLLECTIONS VENDOR, NO REPORTING TO CREDIT BUREAUS MAY TAKE PLACE, AND THE VENDOR PROVIDES ALL PATIENTS WITH AN OPPORTUNITY TO REQUEST FINANCIAL ASSISTANCE CONSIDERATION, INCLUDING RETURNING THE ACCOUNT TO US.
PART VI, LINE 2:	NGMC BARROW AND NGMC LUMPKIN- NGMC HAS PARTNERED WITH OTHER HEALTHCARE PROVIDERS IN THE COMMUNITY TO FORM THE HEALTHCARE INITIATIVE CONSORTIUM. THIS GROUP HAS WORKED WITH A LOCAL UNIVERSITY TO DEVELOP AN ONGOING DATABASE OF FIVE DATA ELEMENTS THAT WILL GIVE THE COMMUNITY UP-TO-DATE INFORMATION ON THE HEALTH ISSUES AFFECTING ITS RESIDENTS. THE FIVE DATA ELEMENTS COLLECTED ARE: BMI (HEIGHT/WEIGHT), A1C, BLOOD PRESSURE, CHOLESTEROL, LDL, AND MICROALBUMIN. THIS GIVES US INFORMATION RELATED TO THE FOLLOWING HEALTH ISSUES: OBESITY, DIABETES, CARDIOVASCULAR DISEASE, AND HYPERTENSION. THE GROUP HAS COLLECTED DATA ON BOTH ADULTS, AS WELL AS PEDIATRIC PATIENTS.- WE REGULARLY MONITOR THE COUNTY HEALTH RANKINGS PUBLISHED BY THE ROBERT WOOD JOHNSON FOUNDATION (HTTP://WWW.COUNTYHEALTHRANKINGS.ORG/ABOUT-PROJECT), AS WELL AS CDC WONDER AND OTHER PUBLICLY AVAILABLE INFORMATION.- NGMC ANNUALLY REPORTS ON THE PROGRESS OF CHNA OUTCOMES AND ACTIVITIES, WHICH INCLUDES QUANTITATIVE INFORMATION ON IDENTIFIED HEALTH NEEDS.NGMC CONTINUES TO LEAD THE WAY IN LIFE-SAVING HEART AND VASCULAR CARE BY BECOMING THE FIRST HEALTH SYSTEM IN THE STATE WITH HOSPITALS DESIGNATED AS EMERGENCY CARDIAC CARE CENTERS BY THE GEORGIA DEPARTMENT OF PUBLIC HEALTH (DPH), WHICH THE SYSTEM MAINTAINED IN FY22. THIS ACHIEVEMENT EXTENDS FAR BEYOND THE WALLS OF OUR SYSTEM CONNECTING FIRST RESPONDERS, EMERGENCY DEPARTMENTS AND CARDIOLOGISTS THROUGHOUT THE REGION TO ENSURE EACH PATIENT RECEIVES THE LEVEL OF CARE THEY NEED.THE GEORGIA DPH USES A THREE-LEVEL DESIGNATION SYSTEM TO RANK THE CAPABILITIES OF EACH FACILITY:- NGMC GAINESVILLE RECEIVED LEVEL 1 DESIGNATION (HOSPITALS PERFORM OPEN HEART SURGERY AND INTERVENTIONAL CARDIAC CATHETERIZATIONS).- NGMC BRASELTON RECEIVED LEVEL 2 DESIGNATION (HOSPITALS PERFORM INTERVENTIONAL CARDIAC CATHETERIZATIONS).- NGMC BARROW AND NGMC LUMPKIN BOTH RECEIVED LEVEL 3 DESIGNATION (HOSPITALS STABILIZE PATIENTS UNTIL THEY ARE TRANSPORTED TO A LEVEL 1 OR LEVEL 2 CENTER).EMPLOYEES OF NORTHEAST GEORGIA MEDICAL CENTER ACTIVELY LEAD OR SUPPORT COMMUNITY, CIVIC, AND PROFESSIONAL ORGANIZATIONS ON THEIR BOARD OF DIRECTORS OR AS A PARTICIPATING MEMBER. NGMC BARROW CAN ASSESS HEALTH CARE NEEDS OF THE COMMUNITY IT SERVES THROUGH SERVICE ON THESE COMMITTEES. FOR EXAMPLE, THE PUBLIC RELATIONS MANAGER OF NGMC BARROW SUNITA SINGH SERVES AS CO-CHAIR OF THE NGHS DIVERSITY, EQUITY, AND INCLUSION COUNCIL. SINGH ALSO SERVES AS VICE CHAIR FOR BARROW CHAMBER OF COMMERCE'S WOMEN IN BUSINESS PROGRAM AND FOR THE BARROW ARTS & SCIENCE ACADEMY'S GOVERNANCE TEAM. FOR THE PAST FOUR YEARS, SHE HAS SERVED AS THE CHAIR OF FRIENDS OF BOY SCOUTS BENEFITING BARROW COUNTY BOY SCOUTS PROGRAM AND ADDITIONALLY SERVES ON THE EXECUTIVE BOARD OF DIRECTORS FOR NEGA COUNCIL-BOY SCOUTS OF AMERICA. SINGH ALSO REPRESENTS BARROW COUNTY BY SERVING ON THE WORKFORCE DEVELOPMENT GRANT REVIEW PANELIST FOR UNITED WAY OF NORTHEAST GEORGIA AND GO RED FOR WOMEN EXECUTIVE LEADERSHIP TEAM FOR AMERICAN HEART ASSOCIATION.
PART VI, LINE 3:	NGMC BARROW AND NGMC LUMPKINEDUCATION BEGINS WITH OUR PLAIN LANGUAGE SUMMARY PROVIDED AT REGISTRATION. SIGNS ARE PROMINENTLY POSTED AT CHECK IN, REGISTRATION, AND WAITING AREAS. BUSINESS CARDS AND FLIERS ARE ALSO AVAILABLE. REGISTRARS PROVIDE COPIES OF OUR APPLICATION UPON REQUEST. FINANCIAL ASSISTANCE REPRESENTATIVES PROVIDE BEDSIDE SCREENING IN THE EMERGENCY DEPARTMENT, AND TO UNINSURED BEDDED PATIENTS DURING STAFFED HOURS OR VIA FOLLOW UP PHONE CALLS IF A BEDDED PATIENT IS DICHARGED PRIOR TO SCREENING. OUR NGHS WEBSITE INCLUDES OUR PLAIN LANGUAGE SUMMARY, POLICY, AND APPLICATIONS IN ENGLISH & SPANISH. OUR PATIENT PORTAL, MYCHART, INCLUDES A SELF-SERVICE ONLINE APPLICATION AND CONTACT INFORMATION FOR ASSISTANCE. OUR PATIENT BILLING CUSTOMER SERVICE TEAM IS TRAINED TO PROVIDE DETAILED SUPPORT TO PATIENTS WHO HAVE A HIGH BALANCE OR EXPRESS DIFFICULTY IN AFFORDING THEIR RESPONSIBILITY. ALL PATIENT SCREENED BY A FINANCIAL ASSISTANCE REPRESENTATIVE OR WHO SUBMIT AN FINANCIAL ASSISTANCE APPLICATION MAY RECEIVE COUNSELING REGARDING GOVERNMENTAL PROGRAMS FOR WHICH THEY MAY QUALIFY, INCLUDING BUT NOT LIMITED TO, MEDICAID AND DISABILITY.
PART VI, LINE 4:	NGMC BARROW AND NGMC LUMPKINPOPULATION: FROM 2010 TO 2021, THE HEALTH SYSTEM'S TOTAL SERVICE AREA ("TSA") POPULATION GREW AN ESTIMATED 1.8% PER YEAR ON AVERAGE COMPARED TO THE STATE OF GEORGIA AT 1.0% AND THE US AT 0.6%. POPULATION FOR THE TSA IN 2021 IS ESTIMATED TO BE 1,102,741 REPRESENTING A TOTAL GROWTH RATE OF 21.6% SINCE 2010, COMPARED TO THE STATE OF GEORGIA'S GROWTH (11.1%) AND THE US (7.3%) OVER THE SAME TIME PERIOD. THE TSA'S POPULATION GROWTH RATE IS PROJECTED TO OUTPACE GEORGIA AND THE US THROUGH AT LEAST 2023, THUS CONTINUING TO DRIVE ABOVE AVERAGE DEMAND FOR HEALTH CARE SERVICES. SOURCES: US CENSUS BUREAU; ESRI, INC.HOUSEHOLD INCOME AND HOME VALUES: MEDIAN HOUSEHOLD INCOME FOR THE TSA IS CURRENTLY $64,179 COMPARED TO THE STATE OF GEORGIA AT $65,060. THE MEDIAN HOME VALUE FOR THE TSA IS CURRENTLY $215,800 COMPARED TO THE STATE OF GEORGIA AT $206,700. SOURCES: US CENSUS BUREAU; ESRI, INC.EMPLOYMENT: THE UNEMPLOYMENT RATE FOR THE NGHS TOTAL SERVICE AREA WAS 2.7% IN 2021 COMPARED WITH THE STATE OF GEORGIA AT 3.9% AND THE U.S. AT 5.3%. FOR AT LEAST THE LAST 11 YEARS, THE TSA HAS CONSISTENTLY EXPERIENCED AN ANNUAL UNEMPLOYMENT RATE BELOW THOSE OF GEORGIA AND THE U.S. SOURCE: US BUREAU OF LABOR STATISTICS; ESRI, INC.
PART VI, LINE 5:	NGMC BARROW AND NGMC LUMPKINNORTHEAST GEORGIA MEDICAL CENTER'S BOARD OF DIRECTORS IS COMPRISED OF 15 MEMBERS AND REPRESENTS THE COMMUNITIES DIRECTLY SERVED BY THE ORGANIZATION. BOARD MEMBERS PROVIDE LEADERSHIP THAT SUPPORTS THE ORGANIZATION'S MISSION TO IMPROVE THE HEALTH OF THE COMMUNITY.PRACTITIONERS AT NGHS AND NGMC ENTITIES UNDERGO EXTENSIVE ONBOARDING PRIOR TO BEING AFFILIATED WITH THE HEALTH SYSTEM, SECURING STANDARD OF CARE AND SAFETY TO OUR COMMUNITY. THE MEDICAL CENTER CONDUCTS PHYSICIAN MANPOWER STUDIES TO DETERMINE THE NUMBER OF PHYSICIANS NEEDED BY SPECIALTY TO MEET COMMUNITY NEED. INFORMATION FROM THESE STUDIES IS USED TO HELP GUIDE DECISIONS FOR PHYSICIAN RECRUITMENT.ALL REVENUES MORE THAN EXPENSES ARE REINVESTED INTO HEALTHCARE SERVICES FOR THE COMMUNITY AND NO PROFITS ACCRUE TO INDIVIDUAL INVESTORS. THE MEDICAL CENTER'S POLICY ON FINANCIAL ASSISTANCE (FORMERLY KNOWN AS THE CHARITY CARE POLICY) HELPS ENSURE ACCESS TO HOSPITAL SERVICES TO LOW-INCOME PATIENTS, I.E., PATIENTS WITH A FAMILY INCOME OF UP TO AND INCLUDING/EQUAL TO 150 PERCENT OF THE FEDERAL POVERTY GUIDELINES QUALIFY FOR A 100 PERCENT CHARITY ADJUSTMENT, WHICH MEANS THAT THEIR QUALIFYING SERVICES ARE FREE. ADDITIONALLY, PATIENTS WITH A FAMILY INCOME OF 151 TO 300 PERCENT QUALIFY FOR DISCOUNTED CARE ON A SLIDING SCALE, WITH THE MOST THAT A PATIENT WOULD PAY IS THE MEDICARE RATE.NGMC LUMPKINNGMC PROVIDED FINANCIAL AND STAFF SUPPORT FOR COMMUNITY HELPING PLACE, AN INDIGENT HEALTH CLINIC IN LUMPKIN COUNTY THAT PROVIDES MEDICAL AND DENTAL SERVICES FOR THE AREA'S MOST VULNERABLE POPULATIONS. NGMC DONATED $15,000 TO HELP SUPPORT THESE EFFORTS IN FY22 NGMC LUMPKIN DIRECTOR KAY HALL SERVED ON THE BOARD OF THE LUMPKIN COUNTY COMMUNITY HELPING PLACE AND NAVIGATION TOWARD MENTAL HEALTH SERVICES. THE VALUE OF STAFF TIME IN FY22 TOTALED $3,227.NGMC FUNDED SUPPORT FOR THE GOOD SHEPHERD CLINIC IN FY22. THE GOOD SHEPHERD CLINIC OF DAWSON COUNTY STRIVES TO MAKE DAWSON COUNTY A BETTER PLACE BY PROVIDING HEALTH CARE FOR THOSE WHO HAVE NONE. IN FY22, NGMC PROVIDED OFFICE SPACE FREE OF CHARGE TO THE CLINIC AT A VALUE OF $185,193 ALONG WITH AN ADDITIONAL DONATION OF $10,000 TO THE CLINIC.
PART VI, LINE 6:	NGMC BARROW AND NGMC LUMPKINNORTHEAST GEORGIA MEDICAL CENTER (NGMC) IS AN AFFILIATE OF NORTHEAST GEORGIA HEALTH SYSTEM. OTHER AFFILIATES ALONG WITH NGMC GAINESVILLE AND BRASELTON INCLUDE NGMC BARROW, NGMC LUMPKIN, NORTHEAST GEORGIA PHYSICIANS GROUP, THE NORTHEAST GEORGIA HEALTH SYSTEM FOUNDATION, NORTHEAST GEORGIA HEALTH PARTNERS, RIVER PLACE MEDICAL OFFICE PLAZA I, AND GEORGIA HEART INSTITUTE, LLC.THE MISSION OF NORTHEAST GEORGIA MEDICAL CENTER AND ALL RELATED AFFILIATES IS TO "IMPROVE THE HEALTH OF THE COMMUNITY IN ALL WE DO." AS A NOT-FOR-PROFIT HOSPITAL, NGMC TREATS PATIENTS REGARDLESS OF THEIR ABILITY TO PAY AND IS ACCOUNTABLE TO THE HOSPITAL AUTHORITY OF HALL COUNTY AND THE CITY OF GAINESVILLE FOR THE PROVISION OF CHARITABLE SERVICES TO THE COMMUNITY.NORTHEAST GEORGIA MEDICAL CENTER PROVIDES ACUTE AND SPECIALTY INPATIENT AND OUTPATIENT SERVICES FOR A REGIONAL COMMUNITY OF OVER 18 COUNTIES AND RECEIVES NO LOCAL TAX SUPPORT FROM ANY OF THOSE COUNTIES FOR OPERATIONS OR INDIGENT CARE.THE NORTHEAST GEORGIA HEALTH SYSTEM FOUNDATION HELPS SUPPORT THE MISSION OF NORTHEAST GEORGIA HEALTH SYSTEM THROUGH FUNDRAISING INITIATIVES THAT IMPROVE SERVICES OFFERED AT NGMC, AS WELL HEALTH-FOCUSED SERVICES IN THE COMMUNITY.NORTHEAST GEORGIA HEALTH PARTNERS WORKS TO BUILD COLLABORATIVE RELATIONSHIPS BETWEEN HOSPITALS, PHYSICIANS AND OTHER HEALTHCARE PROVIDERS, EMPLOYERS, AND THE EMPLOYEES THEY REPRESENT THROUGH INSURANCE PRODUCTS THAT HELP SUPPORT PATIENT ACCESS TO HEALTHCARE SERVICES THROUGHOUT THE REGION.RIVER PLACE MEDICAL OFFICE PLAZA 1 IS A MEDICAL OFFICE BUILDING THAT IS HOME TO AN URGENT CARE CENTER, IMAGING CENTER, OUTPATIENT REHABILITATION CENTER, FULL-SERVICE LAB AND MANY PRIVATE PHYSICIAN PRACTICES REPRESENTING MORE THAN 20 MEDICAL SPECIALTIES, IMPROVING ACCESS TO CARE IN THE SOUTHERN REGION SERVED BY NORTHEAST GEORGIA HEALTH SYSTEM.NORTHEAST GEORGIA PHYSICIANS GROUP IS A MULTI-SPECIALTY GROUP WITH MORE THAN 400 PHYSICIANS, PHYSICIAN ASSISTANTS, NURSE PRACTITIONERS AND OTHER CLINICAL STAFF PROVIDING HEALTHCARE SERVICES AT 65 LOCATIONS THROUGHOUT NORTHEAST GEORGIA, WHICH FURTHER IMPROVES THE COMMUNITY'S ACCESS TO CARE FOR THE REGION OF 19 COUNTIES.NORTHEAST GEORGIA HEALTH SYSTEM VOLUNTEERS AND AUXILIANS ARE PEOPLE OF ALL AGES WHO GIVE OF THEMSELVES TO MAKE A DIFFERENCE IN THE LIVES OF OTHERS. THE MEDICAL CENTER AUXILIARY IS COMMITTED TO INVOLVING DEDICATED VOLUNTEERS TO IMPROVE THE SERVICES OF THE HEALTH SYSTEM. VOLUNTEERS CONTRIBUTE TIME AND COMPASSIONATE SERVICE ASSISTING WITH NON-MEDICAL DUTIES AS THEY PROVIDE COMFORT AND SUPPORT TO PATIENTS, FAMILY MEMBERS AND VISITORS.THE AFFILIATION BETWEEN NORTHEAST GEORGIA MEDICAL CENTER'S HEART AND VASCULAR SERVICES AND GEORGIA HEART INSTITUTE OF NORTHEAST GEORGIA MEDICAL CENTER ENSURES PATIENTS HAVE ACCESS TO THE LATEST CARDIOVASCULAR TECHNOLOGY AND RECEIVE TOP QUALITY CARE FROM TOP PHYSICIANS. THIS GROUP HAS SEVERAL OFFICES THROUGHOUT THE NORTHEASTERN PART OF GEORGIA AND PROVIDES ALL CARDIOVASCULAR SUBSPECIALTY CARE, INCLUDING GENERAL, INVASIVE, AND INTERVENTIONAL CARDIOLOGY, CONGESTIVE HEART FAILURE, ELECTROPHYSIOLOGY, PERIPHERAL VASCULAR INTERVENTIONS, AND WOMEN'S CARDIOVASCULAR HEALTH PROGRAMS.
PART VI, LINE 7, REPORTS FILED WITH STATES	GA

Schedule H (Form 990) 2021

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Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2021

Open to Public
Inspection

Name of the organization
NORTHEAST GEORGIA HEALTH SYSTEM INC

Employer identification number
58-1694090

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section (if applicable)	(d) Amount of cash grant	(h) Purpose of grant or assistance
(1) AMERICAN CANCER SOCIETY PO BOX 1685 ATLANTA,GA30301	13-1788491	501(C)(3)	42,500	RELAY FOR LIFE SPONSORSHIP
(2) AMERICAN HEART ASSOCIATION PO BOX 841750 DALLAS,TX75284	13-5613797	501(C)(3)	47,739	HEARTWALK SPONSORSHIP
(3) CHATEAU ELAN MILITARY SUPPORT 6004 CHICKASAW LANE BRASELTON,GA30517	84-1848145	501(C)(3)	7,500	CE MILITARY FOUNDATION FUNDRAISING EVENTS
(4) COMMUNITY HELPING PLACE INC PO BOX 712 DAHLONEGA,GA30533	37-1554437	501(C)(3)	15,000	TOMATO SUPPER SPONSORSHIP
(5) DACULA HIGH SCHOOL TOUCHDOWN PO BOX 826 DACULA,GA30019	46-3461731	501(C)(3)	5,500	TIMEOUT SPONSOR 2500, FIRST DOWN SPONSOR 3000
(6) DAWSON COUNTY CHAMBER OF COMMERCE PO BOX 299 DAWSONVILLE,GA30534	58-1950100	115	24,400	VARIOUS SPONSORSHIPS
(7) ELACHEE NATURE SCIENCE CENTER 2125 ELACHEE DRIVE GAINESVILLE,GA30504	58-1643768	501(C)(3)	10,000	ANNUAL SPONSORSHIP
(8) FORSYTH COUNTY CHAMBER OF COMMERCE 212 WEBB STREET CUMMING,GA30040	58-1048245	501(C)(3)	15,500	VARIOUS SPONSORSHIPS
(9) GAINESVILLE JAYCEES PO BOX 126 GAINESVILLE,GA30503	31-1763149	501(C)(3)	10,000	CORPORATE SPONSORSHIP
(10) GAINESVILLE PARKS & RECREATION 830 GREEN STREET GAINESVILLE,GA30501	58-6000581		26,000	2 YEAR SPONSORSHIP 16K, 2022 WILSHIRE WONDERLAND OF LIGHTS SPONSOR 10K
(11) GAINESVILLE PARKS AND GREENWAY 830 GREEN STREET GAINESVILLE,GA30501	58-2263214	115	11,000	2021 WILSHIRE WONDERLAND OF LIGHTS 10K, BUTTERFLY RELEASE SPONSORSHIP 1K
(12) GOERGIA CENTER FOR NURSING EXCELLENCE 3032 BRIARCLIFF ROAD ATLANTA,GA30329	87-1005670	501(C)(3)	8,000	GA NURSING WORKFORCE SPONSOR
(13) GEORGIA EMS ASSOCIATION 386 RIVER POINT DRIVE MCDONOUGH,GA30252	58-1867952	501(C)(6)	6,000	CORPORATE SPONSORSHIP
(14) GLORY HOPE AND LIFE INC 725 JESSE JEWELL PKWY STE 270 GAINESVILLE,GA30501	26-4134012	501(C)(3)	15,000	ANNUAL SPONSORSHIP
(15) GOOD NEWS CLINICS 810 PINE STREET GAINESVILLE,GA30501	58-1895047	501(C)(3)	160,648	25% OPERATING EXPENSE ALONG WITH INCENTIVE
(16) GOOD SHEPARD CLINIC OF DAWSON 452 HWY 53 E 1009 DAWSONVILLE,GA30534	27-0245804	501(C)(3)	10,000	GRITS AND GRANOLA EVENT SPONSOR
(17) GREATER HALL CHAMBER OF COMMERCE PO BOX 374 GAINESVILLE,GA30503	58-0251406	501(C)(3)	27,060	VARIOUS SPONSORSHIPS
(18) INTERACTIVE NEIGHBORHOOD 999 CHESTNUT STREET GAINESVILLE,GA30501	75-3077646	501(C)(3)	7,000	SPONSORSHIPS
(19) J'A PLACE RECOVERY CENTER 664 LANIER PARK DRIVE GAINESVILLE,GA30501	83-0897362	501(C)(3)	6,000	DONATION 1K, SPONSORSHIP 5K
(20) JACKSON COUNTY AREA CHAMBER OF COMMERCE PO BOX 629 JEFFERSON,GA30549	58-1238040	501(C)(3)	27,100	VARIOUS SPONSORSHIPS
(21) JOHN JARRARD FOUNDATION 500 JESSE JEWELL PKWY STE 300 GAINESVILLE,GA30501	20-8879399	501(C)(3)	10,000	SPONSOR ANNUAL CONCERT
(22) LAKE LANIER OLYMPIC PARK PO BOX 369 GAINESVILLE,GA30503	58-2094780	501(C)(3)	606,500	SPONSORSHIP FOR PLAZA 600K, SPONSORSHIPS 6500
(23) LUMPKIN COUNTY FAMILY CONNECTION 56 INDIAN DRIVE DAHLONEGA,GA30533	74-3144389	501(C)(3)	7,500	TURKEY TROT SPONSORSHIP 2500 , TASTE OF THE MTNS 5K
(24) NORTHEAST GEORGIA HISTORY CENTER PO BOX 1451 GAINESVILLE,GA30503	58-1443900	501(C)(3)	10,000	PILLAR SPONSOR
(25) PROFESSIONAL ASSOCIATION MGT 4850 GOLDEN PARKWAY BUFORD,GA30518	13-5641985	501(C)(3)	8,000	SPONSORSHIPS
(26) ROTARY CLUB OF DAWSON COUNTY PO BOX 1495 DAWSONVILLE,GA30534	82-1123575	501(C)(3)	17,500	VARIOUS SPONSORSHIPS
(27) ROTARY CLUB OF GAINESVILLE PO BOX 382 GAINESVILLE,GA30503	58-6044389	501(C)(4)	10,500	VARIOUS SPONSORSHIPS
(28) STERLING ON THE LAKE 7005 LAKE STERLING BLVD FLOWERY BRANCH,GA30542	51-0493899		5,500	SPONSORSHIP
(29) WOMENSOURCE INC PO BOX 684 GAINESVILLE,GA30503	26-2882799	501(C)(3)	10,000	VARIOUS SPONSORSHIPS
(30) YMCA 2455 YMCA DRIVE GAINESVILLE,GA30501	58-2203268	501(C)(3)	21,500	VARIOUS SPONSORSHIPS
(31) YMCA 50 BRAD AKINS DR WINDER,GA30680	58-2203268	501(C)(3)	5,000	ANNUAL CONTRIBUTION

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2021

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance	(b) Number of recipients	(c) Amount of cash grant	(d) Amount of noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance

(1)
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.

Return Reference	Explanation
PART I, LINE 2:	THE MAJORITY OF GRANTS ARE TO 501(C)(3) ORGANIZATIONS. APPROVAL IS OBTAINED PRIOR TO DISBURSEMENT.

Schedule I (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

NORTHEAST GEORGIA HEALTH SYSTEM INC

Employer identification number

58-1694090

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .....

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ....

Yes

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? .............

Yes

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ....................

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ..................

Any related organization? ......................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2021

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2, 1099-MISC compensation, and/or 1099-NEC			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1JOHN CLIFTON HASTINGS MEMBER,PHYSICIAN-NGPG	(i) (ii)	0 ------------- 721,715	0 ------------- 100,000	0 ------------- 25,727	0 ------------- 10,150	0 ------------- 34,128	0 ------------- 891,720	0 ------------- 0
2PIERPONT BROWN MEMBER,PHYSICIAN-NGPG	(i) (ii)	0 ------------- 370,314	0 ------------- 123,734	0 ------------- 27,054	0 ------------- 10,150	0 ------------- 30,339	0 ------------- 561,591	0 ------------- 0
3CAROL BURRELL PRESIDENT & CEO	(i) (ii)	0 ------------- 1,132,808	0 ------------- 472,030	0 ------------- 52,914	0 ------------- 75,452	0 ------------- 25,392	0 ------------- 1,758,596	0 ------------- 0
4BRIAN D STEINES CHIEF FINANCIAL OFFICER	(i) (ii)	0 ------------- 626,308	0 ------------- 298,270	0 ------------- 49,884	0 ------------- 87,593	0 ------------- 29,090	0 ------------- 1,091,145	0 ------------- 73,497
5STEPHEN KELLY CHIEF COMPLIANCE OFFICER	(i) (ii)	0 ------------- 226,602	0 ------------- 80,017	0 ------------- 20,818	0 ------------- 39,957	0 ------------- 17,247	0 ------------- 384,641	0 ------------- 27,934
6MICHAEL COVERT CHIEF OPERATING OFFICER	(i) (ii)	0 ------------- 796,904	0 ------------- 374,154	0 ------------- 43,014	0 ------------- 105,863	0 ------------- 24,329	0 ------------- 1,344,264	0 ------------- 95,713
7ANDREI BOYARSHINOV VP LEGAL AFFAIRS & CHIEF LEGAL OFFIC	(i) (ii)	0 ------------- 420,579	0 ------------- 152,811	0 ------------- 38,085	0 ------------- 62,303	0 ------------- 30,059	0 ------------- 703,837	0 ------------- 0
8CHAD HATFIELD VP - REGIONAL HOSPITALS	(i) (ii)	0 ------------- 195,831	0 ------------- 0	0 ------------- 729	0 ------------- 4,731	0 ------------- 15,674	0 ------------- 216,965	0 ------------- 0
9CHRISTOPHER PARAVATE CHIEF INFORMATION OFFICER - NGHS	(i) (ii)	0 ------------- 416,607	0 ------------- 172,337	0 ------------- 22,152	0 ------------- 63,143	0 ------------- 28,628	0 ------------- 702,867	0 ------------- 49,663
10DANIEL TUFFY PRESIDENT AND CAO - NGPG	(i) (ii)	0 ------------- 410,357	0 ------------- 170,181	0 ------------- 22,603	0 ------------- 61,198	0 ------------- 29,582	0 ------------- 693,921	0 ------------- 49,043
11HABIB SAMADY PRESIDENT - GEORGIA HEART INSTITUTE	(i) (ii)	0 ------------- 972,102	0 ------------- 177,790	0 ------------- 49,055	0 ------------- 94,888	0 ------------- 11,958	0 ------------- 1,305,793	0 ------------- 0
12LORIE SHOEMAKER CHIEF NURSING EXECUTIVE - CONTRACT	(i) (ii)	0 ------------- 368,341	0 ------------- 0	0 ------------- 0	0 ------------- 0	0 ------------- 0	0 ------------- 368,341	0 ------------- 0
13LUISA GUTMAN CHIEF HR OFFICER - NGHS	(i) (ii)	0 ------------- 173,265	0 ------------- 74,219	0 ------------- 228,999	0 ------------- 38,267	0 ------------- 8,967	0 ------------- 523,717	0 ------------- 62,791
14MELISSA TYMCHUK CHIEF OF STAFF	(i) (ii)	0 ------------- 272,797	0 ------------- 84,863	0 ------------- 31,879	0 ------------- 49,499	0 ------------- 31,952	0 ------------- 470,990	0 ------------- 27,862
15TRACY VARDEMAN CHIEF STRATEGY EXECUTIVE - NGHS	(i) (ii)	0 ------------- 373,629	0 ------------- 178,223	0 ------------- 24,432	0 ------------- 73,507	0 ------------- 26,040	0 ------------- 675,831	0 ------------- 40,422
16JEH-WEI CHENG PHYSICIAN	(i) (ii)	0 ------------- 580,746	0 ------------- 147,538	0 ------------- 20,556	0 ------------- 10,150	0 ------------- 14,013	0 ------------- 773,003	0 ------------- 0
17MITCHELL DAVIS PHYSICIAN	(i) (ii)	0 ------------- 471,539	0 ------------- 247,828	0 ------------- 27,054	0 ------------- 10,150	0 ------------- 32,069	0 ------------- 788,640	0 ------------- 0
18NIMA GHASEMZADEH PHYSICIAN	(i) (ii)	0 ------------- 578,614	0 ------------- 152,774	0 ------------- 20,670	0 ------------- 10,150	0 ------------- 11,463	0 ------------- 773,671	0 ------------- 0
19RYAN WHITNEY PHYSICIAN	(i) (ii)	0 ------------- 666,235	0 ------------- 257,517	0 ------------- 2,652	0 ------------- 10,150	0 ------------- 20,227	0 ------------- 956,781	0 ------------- 0
20UGOCHUKWU EGOLUM PHYSICIAN	(i) (ii)	0 ------------- 492,665	0 ------------- 243,571	0 ------------- 20,556	0 ------------- 10,150	0 ------------- 29,896	0 ------------- 796,838	0 ------------- 0
21BRENDA SIMPSON FORMER CHIEF NURSING EXECUTIVE - NGM	(i) (ii)	0 ------------- 100,597	0 ------------- 3,758	0 ------------- 829	0 ------------- 4,244	0 ------------- 846	0 ------------- 110,274	0 ------------- 3,758
22LOUIS SMITH JR FORMER PRESIDENT - NGMC - SYSTEM ACU	(i) (ii)	0 ------------- 0	0 ------------- 0	0 ------------- 179,296	0 ------------- 0	0 ------------- 8,231	0 ------------- 187,527	0 ------------- 0

Schedule J (Form 990) 2021

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference

Explanation

PART I, LINES 4A-B

SEVERANCE PAYMENT IN ACCORDANCE WITH AN EMPLOYMENT ARRANGEMENT, THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS: LUISA GUTMAN $ 225,816 LOUIS SMITH JR. $ 179,296 EMPLOYER CONTRIBUTION TO 457(F) EXECUTIVE RETIREMENT BENEFIT PLAN ANDREI BOYARSHINOV $ 52,153 BRENDA SIMPSON $ 3,758 BRIAN D. STEINES $ 77,443 CHRISTOPHER PARAVATE $ 52,993 DANIEL TUFFY $ 52,330 HABIB SAMADY $ 84,738 LUISA GUTMAN $ 32,097 MELISSA TYMCHUK $ 31,718 MICHAEL COVERT $ 95,713 STEPHEN KELLY $ 29,807 TRACY M. VARDEMAN $ 46,373 CAROL H. BURRELL, PRESIDENT AND CEO: BEGINNING IN DECEMBER 2017, NGHS INVESTED IN A JOINTLY-OWNED SPLIT DOLLAR LIFE INSURANCE PLAN FOR MS. BURRELL. THE ASSET VALUE AS OF SEPTEMBER 30, 2022 WAS $6,013,878 AND IS REPORTED ON FORM 990, PART X, LINE 5. SEE ALSO SCHEDULE L, PART V FOR ADDITIONAL INFORMATION REGARDING THE SPLIT DOLLAR LIFE INSURANCE. EMPLOYER PAYMENT FROM 457(F) PLAN (INCLUDING VESTED EARNINGS ON PREVIOUSLY REPORTED COMPENSATION): BRENDA SIMPSON $ 3,758 BRIAN D. STEINES $ 76,992 CHRISTOPHER PARAVATE $ 52,025 DANIEL TUFFY $ 51,375 LUISA GUTMAN $ 63,083 MELISSA TYMCHUK $ 29,187 MICHAEL COVERT $ 95,713 TRACY M. VARDEMAN $ 42,344 STEPHEN KELLY $ 29,262

Schedule J (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered "Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c, or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

NORTHEAST GEORGIA HEALTH SYSTEM INC

Employer identification number

58-1694090

Part I

Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and section 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by the organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e) Original principal amount	(f) Balance due	(g) In default?		(h) Approved by board or committee?		(i) Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e) Original principal amount	(f) Balance due	Yes	No	Yes	No	Yes	No
(1) CAROL BURRELL	PRESIDENT & CEO	SEE PART V		X	5,600,000	6,013,878		No	Yes		Yes





Total ............... $						6,013,878

Part III

Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990) 2021

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person	(c) Amount of transaction	(d) Description of transaction	Yes	No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference

Explanation

PART II

EXPLANATION FOR NON-RECOURSE SPLIT DOLLAR TRANSACTION WITH CAROL BURRELL, PRESIDENT & CEO:NGHS PROVIDES SUPPLEMENTAL RETIREMENT BENEFITS THROUGH AN ALTERNATIVE FUNDING ARRANGEMENT THE INTERNAL REVENUE SERVICE (IRS) REFERS TO AS COLLATERAL ASSIGNMENT SPLIT DOLLAR (CASD). ALTHOUGH THE IRS REQUIRES REPORTING IN THE LOAN SECTION OF SCHEDULE L, CASD IS NOT AN ACTUAL LOAN AND NO FUNDS ARE TRANSFERRED TO THE EXECUTIVE. RATHER, THE "LOAN" TREATMENT APPLIES BECAUSE, AFTER THE EXECUTIVE HAS RECEIVED RETIREMENT BENEFITS, NGHS WILL RECOVER ALL OF ITS OUTLAYS PLUS INTEREST. THE RECOVERY RIGHT IS A KEY ADVANTAGE OF CASD FOR THE ORGANIZATION. RATHER THAN PAYING RETIREMENT BENEFITS TO THE EXECUTIVE THAT WOULD NEVER BE RECOVERED, UNDER CASD NGHS WILL RECOVER NOT ONLY ITS OUTLAYS, BUT ALSO CONSIDERATION FOR THE TIME VALUE OF MONEY.CASD WORKS AS FOLLOWS. NGHS DEPOSITS FUNDS INTO A CASH VALUE LIFE INSURANCE POLICY ON THE EXECUTIVE'S LIFE. DURING LIFE, TO THE EXTENT THE EXECUTIVE FULFILLS SERVICE AND VESTING REQUIREMENTS, THE EXECUTIVE CAN BORROW AGAINST VALUES IN THE POLICY TO SUPPLEMENT RETIREMENT INCOME. POLICY PERFORMANCE IS CLOSELY MONITORED. IF POLICY PERFORMANCE LAGS, THE EXECUTIVE'S BORROWING RIGHTS ARE REDUCED TO PROTECT NGHS'S RECOVERY RIGHTS.AT THE EXECUTIVE'S DEATH, THE POLICY DEATH PROCEEDS ARE FIRST USED TO REPAY NGHS ITS DEPOSITS PLUS COMPOUNDED INTEREST (AT THE IRS LONG-TERM APPLICABLE FEDERAL RATE). THE EXECUTIVE'S BENEFICIARY THEN RECEIVES ANY PROJECTED RETIREMENT BORROWING THE EXECUTIVE DID NOT ACCESS DURING LIFE.

Schedule L (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2021

Open to Public
Inspection

Name of the organization

NORTHEAST GEORGIA HEALTH SYSTEM INC

Employer identification number

58-1694090

Return Reference	Explanation
FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS:	NORTHEAST GEORGIA HEALTH SYSTEM (NGHS) IS A GEORGIA NOT-FOR-PROFIT COMMUNITY HEALTH SYSTEM WITH THE MISSION TO "IMPROVE THE HEALTH OF THE COMMUNITY IN ALL WE DO." THE HEALTH SYSTEM SERVES MORE THAN ONE MILLION PEOPLE IN 19 COUNTIES ACROSS NORTHEAST GEORGIA OFFERING A FULL RANGE OF HEALTHCARE SERVICES, INCLUDING ONCOLOGY, ORTHOPEDICS, CARDIAC SURGERY, CRITICAL CARE, SURGICAL TRAUMA, NEONATOLOGY, AND WOMEN'S CARE. AS A NOT-FOR-PROFIT HEALTH SYSTEM, ALL REVENUE GENERATED ABOVE OPERATING EXPENSES IS RETURNED TO THE COMMUNITY THROUGH IMPROVED SERVICES AND INNOVATIVE PROGRAMS. IT IS LED BY VOLUNTEER BOARDS MADE UP OF COMMUNITY LEADERS. NGHS OPERATES THE FOLLOWING HOSPITAL CAMPUSES: NGMC BARROW, LLC: A 56-BED LICENSED HOSPITAL IN WINDER. IN JULY 2018, NGHS ACQUIRED NGMC LUMPKIN, LLC (FORMERLY CHESTATEE REGIONAL HOSPITAL) TO INCLUDE EMERGENCY SERVICES, TEN INPATIENT BEDS, AND OTHER SUPPORT SERVICES IN DAHLONEGA AND SURROUNDING COMMUNITIES. IN JUNE 2022, NGMC LUMPKIN BROKE GROUND ON A NEW HOSPITAL IN DAHLONEGA, GEORGIA, WHICH WILL ENHANCE ACCESS TO HEALTHCARE SERVICES FOR AREA RESIDENTS. NGHS AFFILIATE NORTHEAST GEORGIA MEDICAL CENTER (NGMC GAINESVILLE AND BRASELTON), OPERATES A 557-LICENSED BED INPATIENT FACILITY IN GAINESVILLE AND A 134-LICENSED BED INPATIENT FACILITY IN BRASELTON. OTHER AFFILIATES INCLUDE THE NGHS FOUNDATION (THE MEDICAL CENTER FOUNDATION, INC. D/B/A THE NORTHEAST GEORGIA HEALTH SYSTEM FOUNDATION), GEORGIA HEART INSTITUTE, LLC, AND NORTHEAST GEORGIA PHYSICIANS GROUP (NGPG). NGPG BRINGS TOGETHER MORE THAN 500 TALENTED PHYSICIANS, PHYSICIAN ASSISTANTS, NURSE PRACTITIONERS, MIDWIVES, AND OTHER CLINICAL STAFF AT MORE THAN 65 LOCATIONS ACROSS NORTH GEORGIA. NGPG IS THE STATE'S SIXTH-LARGEST PHYSICIAN GROUP OFFERING EXPERTISE IN MORE THAN 25 SPECIALTIES. ECONOMIC IMPACT NGMC SERVES AS A FINANCIAL ENGINE FOR THE LOCAL ECONOMY. IN 2021 (LATEST NUMBERS AVAILABLE), THE FOUR HOSPITALS COLLECTIVELY HAD A $4.2 BILLION LOCAL AND STATE ECONOMIC IMPACT, ACCORDING TO A REPORT BY THE GEORGIA HOSPITAL ASSOCIATION (GHA), WHICH APPLIED AN ECONOMIC MULTIPLIER TO THE HOSPITAL'S DIRECT EXPENDITURES TO ACCOUNT FOR THE "RIPPLE" EFFECT THE HOSPITAL'S SPENDING HAS ON OTHER SECTORS OF THE LOCAL AND STATE ECONOMIES. THE REPORT FOUND THAT THROUGH ITS ECONOMIC IMPACT, NGMC SUSTAINED 15,000 FULL-TIME JOBS THROUGHOUT THE REGION AND THE STATE, IN ADDITION TO NEARLY 9,000 EMPLOYEES THE SYSTEM DIRECTLY EMPLOYED. CHARITY CARE IN FY22, NGMC HOSPITALS PROVIDED CHARITY CARE IN THE COMMUNITY AT THE COST OF AN ESTIMATED $84.2 MILLION AND RECEIVED NO LOCAL TAX REVENUE FROM HALL COUNTY OR ANY OTHER COUNTIES TO SUPPORT OPERATIONS OR CARE PROVIDED TO INDIGENT RESIDENTS. THE CHARITY CARE POLICY PROVIDES FINANCIAL ASSISTANCE UP TO 300 PERCENT OF THE POVERTY LEVEL MANY HOSPITALS PROVIDE CHARITY ADJUSTMENTS ONLY TO THE LEVEL THAT MATCHES THE STATE DEFINITION OF MEDICALLY INDIGENT BUT NOT AT THE LEVEL THAT NGMC OFFERS. NGMC'S CHARITY CARE POLICY SUPPORTS PROVIDING CARE FOR INDIGENT PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY. AS A NOT-FOR-PROFIT HEALTH SYSTEM, ALL REVENUE GENERATED ABOVE OPERATING EXPENSES WAS RETURNED TO THE COMMUNITY THROUGH IMPROVED SERVICES AND INNOVATIVE PROGRAMS. TOTAL ESTIMATED CHARITY CARE COST FOR EACH HOSPITAL ENTITY IN FY22: -NGMC GAINESVILLE/BRASELTON: $36.1 MILLION FOR HALL COUNTY RESIDENTS + $43.5 MILLION FOR REGIONAL RESIDENTS OUTSIDE OF HALL FOR A TOTAL OF $79.6 MILLION. -NGMC BARROW: $2.6 MILLION FOR BARROW COUNTY RESIDENTS + $1.2 MILLION FOR REGIONAL RESIDENTS OUTSIDE OF BARROW FOR A TOTAL OF $3.8 MILLION. -NGMC LUMPKIN: $425,000 FOR LUMPKIN COUNTY RESIDENTS + $375,000 FOR REGIONAL RESIDENTS OUTSIDE OF LUMPKIN FOR A TOTAL OF $800,000. -TOTAL ESTIMATED CHARITY CARE COST FOR EACH HOSPITAL ENTITY IN FY22: $84.2 MILLION LOW-INCOME AND UNINSURED PATIENT PROGRAMS: NGMC HOSPITALS ARE KEY PARTICIPANTS AND FISCAL SPONSORS IN PROGRAMS AIMED AT TREATING LOW-INCOME AND UNINSURED PATIENTS, INCLUDING THE GOOD NEWS CLINICS, THE LARGEST FREE HEALTHCARE CLINIC IN GEORGIA, AND HEALTH ACCESS, A LOCAL SERVICE THAT MATCHES FINANCIALLY ELIGIBLE PATIENTS TO SPECIALTY PHYSICIANS AND PROVIDES ACCESS TO CARE, AMONG OTHER SERVICES. NGMC WAS THE PRIMARY HOSPITAL FOR LOW-INCOME PATIENTS IN GAINESVILLE-HALL COUNTY AND THROUGHOUT THE REGION IN COUNTIES SUCH AS BANKS, LUMPKIN, RABUN, UNION, AND WHITE, WHERE MANY KEY MEDICAL SPECIALTIES ARE UNAVAILABLE. NGMC TAX FUNDING: SINCE 2000, NGMC GAINESVILLE HAS PROVIDED NEARLY THREE TIMES THE AMOUNT OF INDIGENT AND CHARITY CARE OUTLINED IN REQUIREMENTS BY THE GEORGIA DEPARTMENT OF COMMUNITY HEALTH TO PASS A CERTIFICATE OF NEED FOR NEW SERVICES SUCCESSFULLY. UNLIKE MANY GEORGIA NOT-FOR-PROFIT HOSPITALS HELD TO THE SAME REQUIREMENTS, NGMC DOES NOT RECEIVE TAX FUNDING FROM ITS LOCAL COUNTY TO HELP FUND INDIGENT CARE FOR AREA RESIDENTS. NGMC GAINESVILLE WAS FOURTH IN THE TOP HOSPITALS FOR NET UNCOMPENSATED CARE ($101 M) PROVIDED IN GEORGIA BASED ON STATE FISCAL YEAR (SFY) 2022 INDIGENT CARE TRUST FUND (ICTF) TOTAL HOSPITAL SPECIFIC DISPROPORTIONATE SHARE HOSPITAL (DSH) LIMITS; MANY OF THE HOSPITALS ON THE LIST RECEIVED LOCAL TAX DOLLARS, WHILE NGMC DID NOT (SFY RUNS FROM JULY 1- JUNE 30). IRS OBLIGATIONS AS A NOT-FOR-PROFIT HOSPITAL, NGMC CARRIES ADDITIONAL RESPONSIBILITIES AS ESTABLISHED BY THE IRS IN 1965. THESE OBLIGATIONS ARE: OPERATE A FULL-TIME EMERGENCY ROOM THAT IS AVAILABLE TO ALL PEOPLE, REGARDLESS OF THEIR ABILITY TO PAY: -NGMC GAINESVILLE AND BRASELTON HAD 147,030 ER VISITS, OPERATING THE BUSIEST EMERGENCY DEPARTMENT IN GEORGIA; NGMC BARROW AND LUMPKIN ALSO OPERATE A 24-HOUR EMERGENCY ROOM. -IN FY22, 16% OF ALL NGMC GAINESVILLE AND BRASELTON EMERGENCY ROOM VISITS WERE MADE BY SELF-PAY PATIENTS; 19% FOR BARROW, AND 15% FOR LUMPKIN. -PROVIDE NON-EMERGENCY SERVICES TO ANYONE UNABLE TO PAY, AND MEDICALLY NECESSARY SERVICES TO ANYONE IN THE NGHS SERVICE AREA NOT ABLE TO PAY. -NGMC PROVIDES HIGH QUALITY, ADVANCED SPECIALTY, AND PRIMARY HEALTHCARE SERVICES TO THE NORTHEAST GEORGIA COMMUNITY, SERVING 1 MILLION PEOPLE IN MORE THAN 18 COUNTIES. -IN FY22, NGMC'S PAYOR MIX AT GAINESVILLE AND BRASELTON WAS 60.4% MEDICARE/MEDICAID, 31.4% COMMERCIAL/OTHER INSURANCE AND 8.2% SELF-PAY. -IN FY22, NGMC'S PAYOR MIX AT BARROW WAS 57.8% FOR MEDICARE/ MEDICAID, 28.8% FOR COMMERCIAL/OTHER INSURANCE AND 13.4% FOR SELF-PAY. -IN FY22, NGMC'S PAYOR MIX AT LUMPKIN WAS 59.5% FOR MEDICARE/ MEDICAID, 29.2% FOR COMMERCIAL/OTHER INSURANCE AND 11.3% FOR SELF-PAY. PARTICIPATE IN MEDICAID AND MEDICARE: 52.1% OF PATIENTS SERVED BY NGMC GAINESVILLE AND BRASELTON IN FY22 WERE MEDICAID AND MEDICARE PATIENTS; 49.5% FOR BARROW AND 49.2% FOR LUMPKIN. CREATE A GOVERNING BOARD THAT IS REPRESENTATIVE OF THE COMMUNITY IT SERVES: MORE THAN 90 COMMUNITY MEMBERS ARE ACTIVELY INVOLVED IN GOVERNANCE THROUGH NGHS, NGMC AND OTHER SUBSIDIARY BOARDS AND COMMITTEES. REINVESTMENT OF SURPLUS FUNDS IN OPERATIONS: AS A NOT-FOR-PROFIT ORGANIZATION, THE REVENUE GENERATED BY NGMC AND ITS PARENT ORGANIZATION NGHS, ABOVE OPERATING EXPENSES, IS REINVESTED INTO THE COMMUNITY. INDIGENT CARE TRUST FUND (ICTF): IN 2022, NGMC GAINESVILLE BRASELTON RECEIVED $11.2 MILLION IN NET FUNDS ALLOCATED THROUGH THE MEDICAID DSH (ICTF) PROGRAM TO PARTIALLY OFFSET A FINANCIAL LOSS OF $101 MILLION IN COST THE MEDICAL CENTER INCURRED TREATING UNINSURED AND MEDICAID PATIENTS. IN ADDITION, NGMC RECEIVED $8.8 MILLION IN NET FUNDS ALLOCATED THROUGH THE MEDICAID UPL PROGRAM TO ADJUST MEDICAID PAYMENTS UPWARD TO MATCH MEDICARE PAYMENT LEVELS. ESTABLISHED IN 1990, THE ICTF EXPANDS MEDICAID ELIGIBILITY AND SERVICES. IT SUPPORTS RURAL HEALTHCARE FACILITIES THAT SERVE THE MEDICALLY INDIGENT AND FUNDS PRIMARY HEALTH CARE PROGRAMS FOR MEDICALLY INDIGENT GEORGIANS. GEORGIA'S DISPROPORTIONATE SHARE HOSPITAL (DSH) PROGRAM IS FUNDED THROUGH THE ICTF. IT ASSISTS HOSPITALS AND OTHER HEALTH PROVIDERS THAT CARE FOR HIGH PROPORTIONS OF MEDICAID, UNINSURED, AND/OR LOW-INCOME PATIENTS. COMMUNITY HEALTH NEEDS ASSESSMENT: WITH SIGNIFICANT INPUT FROM THE COMMUNITY, THE HOSPITAL ENTITIES OF NORTHEAST GEORGIA MEDICAL SYSTEM COMPLETED A REGIONAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN 2022. THE ASSESSMENT FOCUSED MAINLY ON THE NEEDS OF THE COMMUNITY'S MOST VULNERABLE POPULATIONS, PARTICULARLY THOSE WITH LOW INCOMES WHO ARE UNINSURED. INPUT FROM THE COMMUNITY WAS GATHERED THROUGH FOCUS GROUPS AND INTERVIEWS, PLUS ONLINE SURVEYS THAT GARNERED APPROXIMATELY 4,500 RESPONSES, WELL ABOVE EXPECTED RESPONSE RATES. THE STUDY IDENTIFIED THE THREE HEALTH PRIORITIES THAT FIT HAND-IN-GLOVE WITH THE ORGANIZATION'S STRATEGIC DIRECTION: MENTAL & BEHAVIORAL HEALTH, ACCESS TO CARE, AND HEALTHY BEHAVIORS.
FORM 990, PART III, LINE 4A	FOR DETAILS ON HOW NGMC AND ITS PARTNERS ARE ACTIVELY ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN ITS CHNA, GO TO WWW.NGHS.COM/COMMUNITY-BENEFIT-RESOURCES. THERE YOU WILL FIND THE CHNA EXECUTIVE SUMMARIES (BOTH IN ENGLISH AND SPANISH), THE FULL CHNA, AND DATA RESOURCES, INCLUDING THE INTERACTIVE TABLEAU DATA TOOL. GRANTS AND COMMITMENTS U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES GRANT: IN FY22, THE NGHS FOUNDATION RECEIVED A $1 MILLION GRANT FROM THE HEALTH RESOURCES AND SERVICES ADMINISTRATION TO FUND MATERNAL CARDIAC PROGRAM INITIATIVES TO REDUCE HIGHER MORTALITY RATES AMONG MINORITIES. THE GRANT WAS AWARDED TO ONLY NINE RECIPIENTS TO SUPPORT STATE-LED MATERNAL HEALTH INNOVATION. WOMEN AND CHILDREN'S SERVICES AND GEORGIA HEART INSTITUTE ARE USING THE FUNDING TO STUDY AND PREVENT CARDIAC DISEASE AMONG PREGNANT AND POSTPARTUM WOMEN. TECHNOLOGY IMPROVEMENT AWARD GRANT: IN FY22, NGMC WAS AWARDED THE $15,000 TECHNOLOGY IMPROVEMENT AWARD GRANT FROM THE NATIONAL NETWORK OF LIBRARIES OF MEDICINE (NNLM) TO ENHANCE PATIENT CARE IN UNDERSERVED COMMUNITIES. THE GRANT'S GOAL IS TO PROMOTE DIGITAL EQUITY AND TECHNOLOGICAL ADVANCEMENT IN COMMUNITIES THROUGH FUNDING FOR TECHNOLOGY AND TRAINING IN ONLINE RESOURCES. NGMC'S PROJECT GOAL IS TO IMPROVE PHYSICIAN CULTURAL COMPETENCY THROUGH SHARED PATIENT CARE EXPERIENCES. TO ACCOMPLISH THE SPECIFIC AIMS OF THE PROJECT, NGMC PROPOSED A LONGITUDINAL DIVERSITY SIMULATION CURRICULUM INCORPORATING VIRTUAL REALITY (VR) ENTITLED "VIRTUAL REALITY DIVERSITY EQUITY & INCLUSION: A NOVEL APPROACH TO RECOGNIZING AND MANAGING BIASES BY DEVELOPING AN INTERDISCIPLINARY LONGITUDINAL SIMULATION CURRICULUM." CHANGE GRANT RECIPIENTS: SEVERAL NGMC EMPLOYEES SUCCESSFULLY APPLIED FOR CHANGE GRANT PROJECTS FUNDED THROUGH WE ARE TARGETING COMMUNITY HEALTH (WATCH), THE NGMC EMPLOYEE GIVING CLUB. HAYLEY WOODARD EXTENDED BOOKS FOR BABIES, A PROGRAM AIDING CASE MANAGEMENT IN PROVIDING NICU FAMILIES WITH BOOKS THROUGHOUT THE CHILD'S FIRST YEAR. JANEANE WALKER, PHD, INITIATED A RESEARCH PROJECT TRACKING THE LONG-TERM EFFECTS OF COVID-19 USING FITNESS TECHNOLOGY. RALPH ABLES IMPLEMENTED A FREE TRANSPORTATION PLAN FOR LOW-INCOME NGPG PATIENTS, ENSURING THEIR ATTENDANCE AT MEDICAL APPOINTMENTS. THESE ENDEAVORS ENHANCED THE PATIENT, VISITOR, AND STAFF EXPERIENCE, ADVANCING NGMC'S MISSION TO IMPROVE COMMUNITY HEALTH. $5 MILLION GIFT COMMITMENT: IN FY22, NGHS FOUNDATION RECEIVED THE LARGEST GIFT COMMITMENT IN ITS HISTORY, AS CHARLES AND DIANE STEPHENS PLEDGED A $5 MILLION ESTATE GIFT TO SUPPORT THE CONSTRUCTION OF THE SYSTEM'S INAUGURAL FREESTANDING HOSPICE HOUSE. THE TOTAL COST OF CONSTRUCTING THE HOSPICE FACILITY IS EXPECTED TO REACH $10 MILLION, AND TO INITIATE THE PROJECT, AN ADDITIONAL $5 MILLION IN COMMITMENTS IS REQUIRED. $100K COMMITMENT TO CLINICAL PIPELINE DEVELOPMENT: IN FY22, THE FOUNDATION BOARD APPROVED AN ALLOCATION OF AN EXTRA $100,000 TO EXPAND NGMC'S CLINICAL PIPELINE STRATEGIES AND WORKFORCE DEVELOPMENT PROGRAMS. THIS FUNDING ARRIVED AT A CRUCIAL MOMENT OF GLOBAL DEMAND FOR HEALTHCARE PROFESSIONALS. THE FUNDING WILL FACILITATE THE IMPLEMENTATION OF TOOLS AND RESOURCES TO ATTRACT AND RETAIN EMPLOYEES, OFFER NECESSARY EDUCATION FOR THEIR SUCCESS, ENABLE SUCCESSION PLANNING, AND ESTABLISH LEADERSHIP TRAINING OPPORTUNITIES. NEW CHANGE GRANTS FUNDED BY EMPLOYEE GIVING: IN FY22, TWO NEW OUTDOOR SPACES OPENED BENEFITING THE MANY PATIENTS, STAFF, AND VISITORS OF NGMC: A THERAPY MOBILITY GARDEN IN GAINESVILLE AND A SERENITY GARDEN AT NGMC BARROW. BOTH PROJECTS WERE EMPLOYEE-SUBMITTED IDEAS, MADE POSSIBLE THROUGH OUR CHANGE GRANTS PROGRAM. LAUNCHED IN 2019, CHANGE GRANTS ARE FULLY FUNDED BY WATCH, THE EMPLOYEE GIVING CLUB OF THE NGHS FOUNDATION. THE NGHS FOUNDATION: THE NGHS FOUNDATION RAISED FUNDS FOR NGMC BRASELTON'S NICU, SAFE KIDS AND THE GAINESVILLE POLICE DEPARTMENT'S CO-RESPONDER PROGRAM THROUGH MARKETPLACE, THE LAUREL CLASSIC AND THE MEDICAL CENTER OPEN. DONATIONS TOTALED $83,500 IN FUNDING FOR SAFE KIDS NORTHEAST GEORGIA, WITH A PRESENTING SPONSORSHIP ON BEHALF OF WILLIS INVESTMENT COUNSEL. THE LAUREL CLASSIC RAISED MORE THAN $111,000, WITH A PRESENTING SPONSORSHIP FROM JACKSON EMC, AND THE MEDICAL CENTER OPEN RAISED MORE THAN $200,000. ACHIEVEMENTS ACHIEVEMENTS IN CARDIOVASCULAR CARE: IN FY22, NGMC RECEIVED FIVE AMERICAN HEART ASSOCIATION AND AMERICAN STROKE ASSOCIATION ACHIEVEMENT AWARDS FOR DEMONSTRATING COMMITMENT TO FOLLOWING UP-TO-DATE, RESEARCH-BASED GUIDELINES FOR THE TREATMENT OF HEART DISEASE AND STROKE, ULTIMATELY LEADING TO MORE LIVES SAVED, SHORTER RECOVERY TIMES AND FEWER READMISSIONS TO THE HOSPITAL. NGMC QUALIFIED FOR THE AWARD BY DEMONSTRATING COMMITMENT TO IMPROVING QUALITY CARE. INPATIENT MEDICAL REHABILITATION ACCREDITATION: THE INPATIENT MEDICAL REHABILITATION PROGRAM OF NGMC ACHIEVED A THREE-YEAR ACCREDITATION FOR THE INTEGRATED INPATIENT REHAB AND STROKE SPECIALTY FROM THE COMMISSION ON ACCREDITATION OF REHABILITATION FACILITIES (CARF) IN FY22. CARF ACTS AS THE GOLD-STAR STANDARD FOR QUALITY OF CARE, SERVICE DELIVERY, FISCAL HEALTH, AND BUSINESS PRACTICES FOR REHAB UNITS. THE INPATIENT MEDICAL REHABILITATION UNIT IS ONE OF 12 CARF ACCREDITED UNITS IN GEORGIA AND ONE OF EIGHT FACILITIES WITH A STROKE SPECIALTY CERTIFICATION ACROSS THE STATE. NGMC CARE TRAFFIC CONTROL CENTER: NGMC OPENED A NEW CARE TRAFFIC CONTROL CENTER IN 2022, WHICH IS TASKED WITH PLACING INCOMING PATIENTS IN ALL NGMC AREAS AT THE LOCATION THAT BEST SERVES THEIR NEEDS. THROUGH THESE EFFORTS, NGMC PATIENTS ARE PROVIDED MORE SEAMLESS CARE TO HELP THEM GET BACK HOME FASTER. APEX VIRTUAL REALITY SIMULATOR: IN FY22, NGMC BECAME THE FIRST HEALTH SYSTEM IN THE NATION TO PROVIDE THE HIGHEST LEVEL OF SAFETY BY TRAINING ITS SECURITY TEAM WITH THE APEX VIRTUAL REALITY SIMULATOR. THE SIMULATOR, WHICH PROVIDES IMMERSIVE DE-ESCALATION AND CRISIS INTERVENTION TRAINING, NOW ENABLES OFFICERS TO RESPOND MORE EFFECTIVELY TO REAL-LIFE SITUATIONS. AWARDS AND RECOGNITION DRUM MAJOR FOR JUSTICE AWARD: DURING A VIRTUAL CELEBRATION ON MLK DAY IN FY22, NGMC BOARD CHAIR PHILLIPPA LEWIS MOSS RECEIVED THE NEWTOWN FLORIST CLUB'S DRUM MAJOR FOR JUSTICE AWARD, WHICH RECOGNIZED HER DEDICATION TO CIVIL AND HUMAN RIGHTS. SHE WAS ONE OF THREE IN HALL COUNTY HONORED AS A DRUM MAJOR OF THE YEAR. FAMILY EDUCATOR OF THE YEAR: MONICA NEWTON, DO, PROGRAM DIRECTOR OF OUR FAMILY MEDICINE RESIDENCY PROGRAM, WAS NAMED THE GEORGIA ACADEMY OF FAMILY PHYSICIANS (GAFP) FAMILY MEDICINE EDUCATOR OF THE YEAR. THIS AWARD IS BESTOWED UPON A DESERVING MEMBER WHO HAS BEEN A LEADER IN ACADEMIC, COMMUNITY AND PROFESSIONAL AFFAIRS, ALONG WITH MAKING OUTSTANDING CONTRIBUTIONS TO THE PROFESSION OR THE COMMUNITY. BRONZE ANTHEM AWARD FOR COVID-19 PODCAST: IN FY22, THE SOCIETY FOR POST-ACUTE AND LONG-TERM CARE MEDICINE'S COVID-19 PODCAST SERIES FEATURING DR. SWATI GAUR, NGMC'S MEDICAL DIRECTOR OF PALLIATIVE CARE, WON A BRONZE ANTHEM AWARD, THE WEBBY'S NEW AWARD THAT HONORS INDIVIDUALS AND ORGANIZATIONS FOR THEIR SOCIAL IMPACT WORK. DR. GAUR'S PODCASTS DISCUSSED COVID-19 ISSUES AFFECTING RESIDENT SAFETY IN THE LONG-TERM-CARE SETTING. APPRECIATION FOR DR. JAMES VARNELL: IN HONOR OF DR. VARNELL, A NON-INVASIVE CARDIOLOGIST WITH GEORGIA HEART INSTITUTE, NOVEMBER 18, 2021, WAS OFFICIALLY PROCLAIMED TO BE DR. JAMES VARNELL DAY IN UNION COUNTY, GEORGIA. NGPG LEADER NATIONAL RECOGNITION: KELSEY KEITH, NGPG'S PATIENT-CENTERED MEDICAL HOME (PCMH) MANAGER, WAS CELEBRATED AS A PCMH CERTIFIED CONTENT EXPERT ONE OF JUST THREE PEOPLE ACROSS THE NATION TO WIN THIS AWARD IN FY22. GREATER HALL CHAMBER OF COMMERCE'S 2022 HEALTHY HALL AWARDS: HEALTHY HALL AWARD WINNERS AND NOMINEES WITH TIES TO NORTHEAST GEORGIA MEDICAL CENTER WERE RECOGNIZED FOR THEIR WORK TO IMPROVE THE HEALTH OF THE COMMUNITY IN 2022. FORMER NGMC BOARD CHAIR RK WHITEHEAD WAS NAMED 2022 VISIONARY LEADER AND PHILANTHROPISTS, CHUCK AND DIANE STEPHENS, RECEIVED THE COMMUNITY IMPACT HEALTHY HALL AWARD OF EXCELLENCE. RETIRED RADIATION ONCOLOGIST AND LONGTIME NGMC DONOR, DR. FRANK G. LAKE, III, WAS HONORED WITH THE LIFETIME ACHIEVEMENT AWARD. MEDICAL DIRECTOR OF THE YEAR: DR. SWATI GAUR, MEDICAL DIRECTOR FOR NEW HORIZONS LONG TERM CARE SERVICES, WAS NAMED THE 2022 MEDICAL DIRECTOR OF THE YEAR BY THE SOCIETY FOR POST-ACUTE AND LONG-TERM CARE MEDICINE. THIS NATIONAL AWARD IS PRESENTED TO ONLY ONE MEDICAL DIRECTOR EACH YEAR FOR SETTING AN OUTSTANDING EXAMPLE THROUGH KNOWLEDGE, EXPERIENCE, PASSION, AND TEAMWORK AS WELL AS THE ABILITY TO MULTITASK, STAY ON TOP OF CLINICAL AND QUALITY IMPROVEMENT INNOVATIONS, AND LEAD FACILITIES IN PROVIDING QUALITY CARE.
FORM 990, PART III, LINE 4A	FORBES "ONE OF BEST PLACES TO WORK" IN US AND GEORGIA: NGMC WAS ONE OF JUST 262 HOSPITALS AND HEALTH SYSTEMS ACROSS THE COUNTRY TO MAKE FORBES' "AMERICA'S BEST EMPLOYERS BY STATE" LIST IN FY22. CRITERIA INCLUDED FAIR PAY, SAFE WORKING CONDITIONS, INCLUSIVE CULTURE, REMOTE WORK BENEFITS AND DIVERSITY INITIATIVES. NGMC WAS NAMED THE #15 BEST EMPLOYER IN GEORGIA, RANKING HIGHER THAN OTHER HOSPITALS WITHIN THE REGION. ATLANTA BUSINESS CHRONICLE CULTURE OF WELLNESS AWARD: NGMC RECEIVED THE CULTURE OF WELLNESS AWARD FROM ATLANTA BUSINESS CHRONICLE. THIS AWARD ACKNOWLEDGES NGMC'S PROACTIVE EFFORTS IN IMPROVING EMPLOYEE WELL-BEING THROUGH INNOVATIVE PROGRAMS, LEADERSHIP DEDICATION, AND PROGRAM ROI. THE ASSESSMENT ENCOMPASSED SEVEN CATEGORIES: WELLNESS PROGRAMMING, LEADERSHIP COMMITMENT, FOUNDATIONAL COMPONENTS, STRATEGIC PLANNING, COMMUNICATION AND MARKETING, PROGRAMMING AND INTERVENTIONS, AND REPORTING AND ANALYTICS. NGMC AUXILIARY VOLUNTEER SUPPORT: IN FY22, MORE THAN 375 AUXILIARY VOLUNTEERS PROVIDED 333,000 HOURS OF SERVICE THROUGHOUT THE HEALTH SYSTEM, WHICH EQUATES TO AN APPROXIMATE $10 MILLION VALUE. HIGHLIGHTS OF NGMC GAINESVILLE AND BRASELTON COMMUNITY BENEFIT ACTIVITIES: NGMC GAINESVILLE AND BRASELTON VALUE COOPERATIVE EFFORTS WITH COMMUNITY ORGANIZATIONS AND OTHER HEALTHCARE PROVIDERS TO IMPROVE THE HEALTH STATUS OF AREA RESIDENTS. THIS IS DEMONSTRATED THROUGH MANY PARTNERSHIPS RANGING FROM SERVING AS THE LEAD AGENCY OF SAFE KIDS NORTHEAST GEORGIA, TO PARTNERING WITH OTHER ORGANIZATIONS SUCH AS GOOD NEWS CLINICS AND PUBLIC HEALTH TO REACH AT-RISK POPULATIONS IN NEED OF HEALTH CARE. HEALTH EDUCATION WAS PROVIDED THROUGH FREE COMMUNITY LECTURES, HEALTH SCREENINGS, AND VARIOUS SUPPORT GROUPS. NGMC ALSO OFFERED EDUCATION SEMINARS FOR HEALTH PROFESSIONALS IN THE COMMUNITY, REGION, AND STATE AND ASSISTED IN THE TRAINING OF STUDENTS PURSUING HEALTH CAREERS. IN ADDITION, NGMC HELPED SUPPORT THE WORK OF LOCAL NON-PROFIT ORGANIZATIONS THAT SERVE THE HEALTH AND SOCIAL NEEDS OF THE COMMUNITY. CHARITY CARE: LIKE NGMC LUMPKIN AND BARROW, GAINESVILLE AND BRASELTON'S CHARITY CARE POLICY REMOVED BARRIERS FOR LOW-INCOME POPULATIONS WITHIN OUR SERVICE AREA, BEGINNING WITH FREE MEDICALLY NECESSARY CARE FOR PATIENTS WHOSE GROSS FAMILY INCOME WAS ZERO TO 150 PERCENT OF THE FEDERAL POVERTY LEVEL (FPL) ADJUSTED FOR FAMILY SIZE. PATIENTS FROM OUR SERVICE AREA WHOSE FPL IS FROM 151 TO 300 PERCENT QUALIFIED FOR AN ADJUSTMENT EQUIVALENT TO THE HOSPITAL'S MEDICARE REIMBURSEMENT RATE PLUS AN ADDITIONAL 40 PERCENT DISCOUNT TO THE MEDICARE REIMBURSEMENT RATE. IN FY22, THE ESTIMATED COST OF INDIGENT AND CHARITY CARE THROUGH NGMC GAINESVILLE AND BRASELTON WAS $79,565,916 FOR AN ESTIMATED 43,262 PATIENT ENCOUNTERS. IN ADDITION, NGMC INCURRED BAD DEBT EXPENSE DURING FY22 OF OVER $93.2 MILLION AS MEASURED BY CHARGES. THIS REPRESENTS APPROXIMATELY 6% OF NET PATIENT REVENUE AS REFLECTED IN THE AUDITED FINANCIAL STATEMENTS. A SIGNIFICANT PERCENTAGE OF THIS AMOUNT IS ESTIMATED TO BE THE RESULT OF PATIENTS THAT ARE EMPLOYED BUT UNABLE TO PAY MEDICAL EXPENSES AND ARE THEREFORE CONSIDERED "MEDICALLY INDIGENT." FINANCIAL NAVIGATORS: NGMC FINANCIAL ASSISTANCE COUNSELORS HELPED PATIENTS BECOME INSURED THROUGH MEDICAID, PEACHCARE, OR OTHER PROGRAMS. THIS TEAM FOCUSES ON ADVOCATING FOR UNINSURED AND UNDER-INSURED PATIENTS, AIDING THEM IN FINDING VIABLE MEANS TO ACCESS CARE. THEY FIND THE BEST SOLUTIONS FOR HELPING PATIENTS APPLY FOR MEDICAID OR DISABILITY COVERAGE, ACCESSING HEALTHCARE EXCHANGES, OR PROCESSING CHARITY APPLICATIONS WHEN APPROPRIATE. INDIGENT PATIENT FUND: AT NGMC, FINANCIAL ASSISTANCE IS PROVIDED FOR INDIGENT PATIENTS TO OBTAIN URGENTLY NEEDED DISCHARGE MEDICATIONS AND TRANSPORTATION. INDIVIDUALS ELIGIBLE FOR THESE FUNDS ARE PATIENTS WHOSE NEEDS CANNOT BE MET THROUGH PRIMARY INSURANCE, THEIR FUNDS, GOVERNMENT PROGRAMS, OR OTHER CHARITABLE SERVICES. THIS HELPED TO ENSURE MEDICATION COMPLIANCE AND MAXIMIZE CONDITIONS FOR RECOVERY AND RECUPERATION. THE NGHS FOUNDATION PROVIDED FUNDING FOR THIS PROGRAM THAT SERVED 268 PEOPLE AT AN ESTIMATED COST OF $22,472 IN FY22. WHAT DRIVES NGMC'S COMMUNITY HEALTH IMPROVEMENT ACTIVITIES: NGMC, WITH INPUT FROM THE COMMUNITY, COMPLETED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN 2022. THE ASSESSMENT FOCUSED MAINLY ON THE NEEDS OF THE COMMUNITY'S MOST VULNERABLE POPULATIONS, PARTICULARLY THOSE WITH LOW INCOMES WHO ARE UNINSURED. INPUT FROM THE COMMUNITY WAS GATHERED THROUGH FOCUS GROUPS, INTERVIEWS, AND ONLINE SURVEYS. THE STUDY IDENTIFIED THREE HEALTH PRIORITIES THAT FIT HAND-IN-GLOVE WITH THE ORGANIZATION'S STRATEGIC DIRECTION: BEHAVIORAL AND MENTAL HEALTH, ACCESS TO CARE, AND HEALTHY BEHAVIORS. FOR MORE INFORMATION ABOUT THE CHNA PROCESS AND THESE PRIORITIES, GO TO WWW.NGHS.COM/COMMUNITY-BENEFIT-RESOURCES. UNITED WAY'S ONE HALL MENTAL AND BEHAVIORAL HEALTH SUBCOMMITTEE: UNDER UNITED WAY'S ONE HALL FRAMEWORK, NGMC PARTNERED WITH LIKE-MINDED PEOPLE AND ORGANIZATIONS TO IMPROVE MENTAL AND BEHAVIORAL HEALTH IN THE COMMUNITY. THIS EFFORT HELPED TO REDUCE THE STIGMA OF SEEKING HELP BY RAISING AWARENESS ABOUT THE ISSUE, PROVIDING UP TO DATE INFORMATION ABOUT AVAILABLE RESOURCES, AND EDUCATION ON MENTAL HEALTH FIRST AID AND OTHER EVIDENCE-BASED PROGRAMS. FOR THE 2022 YEAR-END REPORT FROM THE COLLABORATIVE, GO TO WWW.UNITEDWAYHALLCOUNTY.ORG/REACHOUT. UNITE US: UNITE US IS A SHARED DATA PLATFORM THAT CREATES A COORDINATED CARE NETWORK WITH PARTNERS WORKING TOGETHER TO PROVIDE A BROAD RANGE OF SERVICES SUCH AS HOUSING, EMPLOYMENT, FOOD ASSISTANCE AND MORE. IT'S A SOCIAL CARE NETWORK THAT ALLOWS FOR ELECTRONIC REFERRALS AND COMMUNICATION BETWEEN OUR NON-PROFITS AND SERVICE ORGANIZATIONS TO CONNECT INDIVIDUALS AND FAMILIES TO THE SOCIAL SERVICES THEY NEED IN REAL TIME. IT HAS A CLOSED LOOP REFERRAL, SO THAT WE KNOW A REFERRAL HAS BEEN SUCCESSFUL AND COMMUNICATION WITH THE PERSON IN NEED HAS OCCURRED. RESEARCH SUPPORTS THE IDEA THAT AS MUCH AS 80% OF A PERSON'S WELLBEING IS TIED TO THINGS LIKE PHYSICAL ENVIRONMENT, ECONOMIC FACTORS, AND HEALTH BEHAVIORS (SOCIAL DETERMINANTS OF HEALTH). ISSUES LIKE UNEMPLOYMENT, FOOD INSECURITY, POOR HOUSING AND SOCIAL ISOLATION PLAY A DETRIMENTAL ROLE IN OVERALL HEALTH. MAKING IMPROVEMENTS IN SDOH UPSTREAM CAN IMPACT BETTER HEALTH DOWNSTREAM BY MINIMIZING POOR HEALTH, UNNECESSARY SUFFERING, AND HIGHER COSTS. IN FY22, NGMC SUPPORTED THE GROUNDWORK TO IMPLEMENT UNITE US, THE LEADING SDOH REFERRAL PLATFORM, AT A COST OF $198,650. AGENCY COLLABORATION IS VITAL TO THE SUCCESS OF UNITE US, AND THAT IS WHY NGMC AND UNITED WAY HAVE PARTNERED WITH THE COMMUNITY ON THIS PROJECT. A WORKGROUP OF STAKEHOLDERS INCLUDING REPRESENTATIVES FROM OVER 14 COMMUNITY-BASED ORGANIZATIONS IDENTIFIED THE FUNCTIONAL REQUIREMENTS OF THE PROGRAM AND PROVIDED DUE DILIGENCE IN THE SELECTION OF UNITE US AS THE VENDOR OF CHOICE. PARTNERING TO REACH THE UNINSURED: NGMC WORKED WITH OTHER HEALTHCARE PROVIDERS TO CARE FOR AREA RESIDENTS, PARTICULARLY THE INDIGENT POPULATION. PARTNERS INCLUDED, BUT ARE NOT LIMITED TO, NGMC, THE NORTHEAST GEORGIA PHYSICIANS GROUP (NGPG) PRIMARY CARE CLINIC AT HALL COUNTY HEALTH DEPARTMENT, THE LONGSTREET CLINIC, MEDLINK (FEDERALLY QUALIFIED HEALTH CENTER), AREA PHYSICIANS, AND INDIGENT CLINICS SUCH AS GOOD NEWS CLINICS IN GAINESVILLE AND GOOD SHEPHERD CLINIC OF DAWSON COUNTY. GOOD NEWS CLINICS (GNC): NGMC PROVIDES FINANCIAL SUPPORT TO GNC ANNUALLY. FOUNDED IN 1992, GNC IS A CHRISTIAN MINISTRY THAT PROVIDES MEDICAL AND DENTAL CARE TO THE INDIGENT AND UNINSURED POPULATION AT NO CHARGE. FOR MORE INFORMATION ABOUT THE LONG-TIME PARTNERSHIP BETWEEN GNC AND NGMC, GO TO PARTNERSHIP HIGHLIGHT: GOOD NEWS CLINICS AT WWW.NGHS.COM/COMMUNITY-BENEFIT-RESOURCES. PEER SUPPORT IN NICU AND ER: NGMC AND THE GEORGIA COUNCIL ON SUBSTANCE ABUSE (GCSA) PARTNERED TO LAUNCH CARES PEER SUPPORT PROGRAM. THE PROGRAM MAKES NGMC THE FIRST AND ONLY HOSPITAL IN GEORGIA TO CONNECT PEOPLE SURVIVING OVERDOSES TO CERTIFIED ADDICTION RECOVERY EMPOWERMENT SPECIALISTS (CARES) AT ITS EDS AND NICUS. IF A PATIENT IS IDENTIFIED TO BE IN NEED OF PEER SUPPORT, A CARES IS PAIRED WITH THE INDIVIDUAL. THEY PROVIDE SUPPORT AND CONNECT THE INDIVIDUAL WITH RESOURCES WHILE AT THE HOSPITAL. THE CARES VISITS THE INDIVIDUAL 10 DAYS AFTER DISCHARGE TO PROVIDE CONTINUED SUPPORT AND RECOVERY RESOURCES. SINCE AUGUST 2021, THE PROGRAM HAS SERVED A TOTAL OF 2,194. P.I.T.C.H. PROGRAM (PARAMEDICS IMPROVING THE COMMUNITY'S HEALTH): AS A PROGRAM OF NGMC, P.I.T.C.H. IS COMMITTED TO ENSURING THE COMMUNITY HAS ACCESS TO THE CARE IT NEEDS. COMMUNITY PARAMEDICS HELP PATIENTS BY MEETING THEM AT THEIR HOME TO PROVIDE AND CONNECT THEM TO PRIMARY CARE SERVICES; SEEK OUT AVAILABLE COMMUNITY RESOURCES; COMPLETE POST-HOSPITAL FOLLOW-UP CARE; DISCOVER EDUCATION AND HEALTH PROGRAMS; AND DISCUSS OVERALL HEALTH AND MENTAL HAPPINESS. THIS PROGRAM BENEFITED 323 COMMUNITY MEMBERS IN FY22.
FORM 990, PART III, LINE 4A	NGPG PRIMARY CARE CLINIC AT THE HALL COUNTY HEALTH DEPARTMENT: NGMC FUNDED AND STAFFED A PRIMARY CARE CLINIC AT THE HALL COUNTY HEALTH DEPARTMENT TO IMPROVE ACCESS TO PRIMARY HEALTHCARE SERVICES FOR LOW-INCOME PEOPLE IN THE COMMUNITY AT A COST OF MORE THAN $1 MILLION IN FY22. PRENATAL CARE PROGRAM AT THE HEALTH DEPARTMENT: NGMC, THE LONGSTREET CLINIC, AND HALL COUNTY HEALTH DEPARTMENT PARTNERED TO IMPROVE BIRTH OUTCOMES BY INCREASING EARLY PRENATAL CARE FOR LOW-INCOME, UNINSURED, AND UNDER-INSURED PREGNANT WOMEN VIA THE HEALTH DEPARTMENT'S PRIMARY CARE CLINIC. IN FY22, NGMC PROVIDED SUPPORT OF APPROXIMATELY $200,000. HABERSHAM MEDICAL CENTER ALLOCATION: NGHS IS A PROVEN COMMUNITY HEALTHCARE SYSTEM LEADER AND PARTNER WHO IS ACQUIRING STRUGGLING RURAL HOSPITAL HABERSHAM MEDICAL CENTER (AS OF JULY 1, 2023) TO MAINTAIN ACCESS TO LOCAL HOSPITAL CARE FOR RURAL PARTS OF OUR NORTH GEORGIA REGION. AS PART OF AN INNOVATIVE 5-YEAR AGREEMENT, NGHS COMMITTED TO INVEST $3 MILLION ANNUALLY TO ENHANCE AND EXPAND HMC SERVICES. THIS FUNDING WAS PROVIDED IN FY22. J'S PLACE RECOVERY CENTER: NGMC SUPPORTED J'S PLACE, THE JEFFREY DALLAS GAY JR. RECOVERY CENTER, HELPING PEOPLE SEEKING RECOVERY AND THOSE IN LONG-TERM RECOVERY BUILD RELATIONSHIPS AND SKILLS THAT AID THEM IN THRIVING AND SUCCEEDING WITHOUT THE USE OF SUBSTANCES. THIS SUPPORT CAME AT A COST OF $4,500 FOR NGMC IN FY22. THE NGHS FOUNDATION RAISES FUNDS TO BENEFIT THE COMMUNITY: THE NGHS FOUNDATION IS THE FUNDRAISING ARM OF NGMC AND RAISED FUNDS TO IMPROVE THE COMMUNITY'S HEALTH. THE FOUNDATION'S OPERATING EXPENSES ARE SUPPORTED BY NGMC SO THAT DONATED FUNDS CAN BE USED TO SUPPORT NGMC PROJECTS AND COMMUNITY HEALTH IMPROVEMENT INITIATIVES. RESPECTING CHOICES-ADVANCED CARE PLANNING EDUCATION: THE NGHS FOUNDATION FUNDS THE PROJECT RESPECTING CHOICES-ADVANCED CARE PLANNING EDUCATION. RESPECTING CHOICES IS AN EVIDENCE-BASED MODEL OF ADVANCED CARE PLANNING THAT HONORS AN INDIVIDUAL'S GOALS AND VALUES FOR CURRENT AND FUTURE HEALTH CARE. THIS PROGRAM IS DESIGNED TO CREATE AN OPEN DISCUSSION ABOUT END-OF-LIFE CARE IN NORTHEAST GEORGIA SO THAT FAMILIES ARE RELIEVED OF UNNECESSARY STRESS WHILE AVOIDING USING EXPENSIVE RESOURCES THAT PATIENTS DON'T VALUE OR BENEFIT FROM. THIS PROJECT BENEFITED 1,800 PEOPLE AT A COST OF $166,186 FOR NGMC IN FY22. ALZHEIMER'S ASSOCIATION SUPPORT: NGMC PROVIDED A DONATION TOWARD THE GEORGIA CHAPTER OF THE ALZHEIMER'S FOUNDATION TO ADVANCE RESEARCH, ENHANCE CARE AND SUPPORT, AND RAISE PUBLIC AWARENESS. THIS SUPPORT CAME AT A COST OF $4,500 FOR NGMC IN FY22. RESEARCH: NGMC CONDUCTED CLINICAL TRIAL RESEARCH STUDIES AVAILABLE TO PATIENTS IN THE COMMUNITY AND ENROLLED PATIENTS INTO CLINICAL TRIALS. CANCER STUDIES COVER THE SPECTRUM OF BREAST, LUNG, COLON, PROSTATE, BLADDER AND THYROID CANCERS, AND STUDIES IN CARDIOLOGY INCLUDE INNOVATIVE THERAPIES AND DEVICES FOR USE IN TREATING CARDIOVASCULAR DISEASE. RESEARCH IMPACTS THE STANDARD OF CARE, IMPROVING THE CARE THAT PATIENTS RECEIVE. IN FY22, NGMC CONTRIBUTED A NET BENEFIT OF $632,579. HOSPICE: HOSPICE OF NGMC PROVIDES MULTIPLE BEREAVEMENT SUPPORT GROUPS AND EDUCATION FOR THOSE GRIEVING A LOSS OR CARING FOR A LOVED ONE WITH AN ILLNESS (SUCH AS DEMENTIA), AND TWO CAMPS FOR CHILDREN DEALING WITH THE LOSS OF SOMEONE CLOSE TO THEM. IN FY22, 741 INDIVIDUALS WERE SERVED IN THIS PROGRAM. COMMUNITY EDUCATION SAFE KIDS COALITION WORKS TO KEEP KIDS SAFE: SAFE KIDS NORTHEAST GEORGIA, LED BY NGMC, IS PART OF SAFE KIDS WORLDWIDE, THE FIRST AND ONLY NATIONAL ORGANIZATION DEDICATED SOLELY TO PREVENTING UNINTENTIONAL CHILDHOOD INJURY, THE NATION'S NUMBER ONE KILLER OF CHILDREN AGES 19 AND UNDER. THIS PROGRAM PROVIDES SAFETY EQUIPMENT SUCH AS CAR SEATS, BIKE HELMETS, AND LIFE JACKETS TO AREA CHILDREN IN NEED. WORKING WITH A COALITION OF LAW ENFORCEMENT, AREA SCHOOLS, COMMUNITY VOLUNTEERS, AND OTHERS, SAFE KIDS PROVIDES EDUCATIONAL MATERIALS AND PROGRAMS THAT TEACH CHILDREN AND THEIR PARENTS HOW TO AVOID ACCIDENTS AND INJURIES. NGMC PROVIDED PROGRAMS AND EVENTS THAT REACHED APPROXIMATELY 2,700 CHILDREN AND THEIR FAMILY MEMBERS, TEACHERS, AND CAREGIVERS. THROUGH THESE PROGRAMS, SAFETY ITEMS WERE DISTRIBUTED TO FAMILIES NEEDING THEM. THE COST OF THIS SUPPORT IS $21,068 IN FY22. SIXTH ANNUAL NORTHEAST GEORGIA REGION 2 TRAUMA SYMPOSIUM: THE SIXTH ANNUAL NORTHEAST GEORGIA REGION 2 TRAUMA ADVISORY COMMITTEE'S TRAUMA SYMPOSIUM WAS HELD IN OCTOBER, ONSITE AT THE RAMSEY CONFERENCE CENTER AT LANIER TECHNICAL COLLEGE AND ONLINE. THE SYMPOSIUM IS DESIGNED TO TEACH RURAL HOSPITALS IN THE NORTH GEORGIA REGION THAT HAVE LIMITED ACCESS TO EVERCHANGING GUIDELINES THE BEST PRACTICE CARE PROCESSES TO ENHANCE PATIENT OUTCOMES. IN FY22, LOCAL AND NATIONAL SPEAKERS PRESENTED ON CRUSH SYNDROME, SURGICAL STABILIZATION OF RIB FRACTURES, AND MORE. PHYSICIANS, ADVANCED PRACTICE PRACTITIONERS, NURSES, EMS AND OTHER CLINICAL PROFESSIONALS BENEFITED FROM ATTENDING THIS PROGRAM. NEGA REGIONAL INFECTION PREVENTION SYMPOSIUM: THE NORTHEAST GEORGIA REGIONAL INFECTION PREVENTION SYMPOSIUM IS A FREE CONFERENCE OFFERED TO ANY HEALTHCARE PROVIDER THROUGHOUT THE STATE BY NGMC'S INFECTION PREVENTION AND CONTROL DEPARTMENT. MANY OF THE SMALL RURAL FACILITIES THROUGHOUT GEORGIA HAVE LIMITED TO NO ACCESS TO INFECTION PREVENTION AND CONTROL EDUCATION, MAKING THIS CONFERENCE VITAL FOR LEARNING. THE SYMPOSIUM BENEFITED 416 HEALTHCARE PROFESSIONALS AT A COST OF $41,195 FOR NGMC IN FY22. REGIONAL TRAUMA ADVISORY COMMITTEE (RTAC) AND SYMPOSIUM: AS PART OF THE STATE OF GEORGIA'S TRAUMA SYSTEM, THE RTAC DEVELOPS AND MAINTAINS THE REGION'S TRAUMA SYSTEM PLAN AND MONITORS SYSTEM COMPLIANCE AND IMPROVEMENT ACTIVITIES. NGMC PARTNERS WITH OTHER EMS AGENCIES, PARTICIPATING HOSPITALS, LOCAL GOVERNMENTS, AND THE PUBLIC AS A PART OF THIS COMMITTEE AND THE ANNUAL NORTHEAST GEORGIA TRAUMA SYMPOSIUM, WHICH PROVIDED EDUCATION TO OVER 480 HEALTH PROFESSIONALS IN THE REGION AT A COST OF $236,634 IN FY22. IN ADDITION, COMMUNITY EDUCATION ON INJURY PREVENTION AND TRAUMA, SUCH AS WITH FALLS AND THE STOP THE BLEED CAMPAIGN, WAS PROVIDED TO NEARLY 1,488 PROFESSIONALS AND INDIVIDUALS AT A COST OF $44,850 IN FY22. GEORGIA HEART & VASCULAR SYMPOSIUM: IN FY22, THE GEORGIA HEART INSTITUTE HELD ITS INAUGURAL GEORGIA HEART & VASCULAR SYMPOSIUM IN BRASELTON, BRINGING HEALTHCARE PROFESSIONALS AND OVER 50 RENOWNED EXPERTS TOGETHER TO SHARE THEIR EXPERIENCE AND KNOWLEDGE ON CARDIOVASCULAR MEDICINE AND TREATMENT. THE EVENT INCLUDED CASE STUDIES, SEMINARS AND TWO HEART PROCEDURES LIVE-STREAMED FROM NORTHEAST GEORGIA MEDICAL CENTER GAINESVILLE FOR THE NEARLY 350 PHYSICIANS, ADVANCED PRACTICE PROVIDERS, NURSES, AND EMS STAFF IN ATTENDANCE. HEALTH SCIENCES LIBRARY AND RESOURCE CENTER: THE HEALTH SCIENCES LIBRARY AND RESOURCE CENTER AT NGMC SERVED THE HEALTH INFORMATION NEEDS OF THE NORTHEAST GEORGIA COMMUNITY, EXPANDING TO OVER 18 COUNTIES IN FY22. THIS CENTER GIVES CONSUMERS, PATIENTS, AND THEIR FAMILY MEMBERS ACCESS TO CREDIBLE RESOURCES RELATING TO MEDICAL SYMPTOMS, CONDITIONS, AND TREATMENTS. THE RESOURCE CENTER ENCOURAGES VISITORS TO MAKE HEALTHY CHOICES AND BECOME ACTIVE, INFORMED PARTNERS IN THEIR HEALTHCARE. IT BENEFITED 9,808 PEOPLE, AND DURING FY22, THE LIBRARY HOSTED A BOOK CLUB TO EDUCATE THE COMMUNITY ON HEALTH LITERACY. COMMUNICARE: EACH YEAR, NGMC PRODUCES AN ANNUAL HEALTH EDUCATION MAGAZINE CALLED COMMUNICARE TO EDUCATE THE PUBLIC ON HEALTH-RELATED ISSUES AND CREATE AWARENESS OF SERVICES AVAILABLE TO THE COMMUNITY. IN FY22, 250,000 COPIES WERE PRINTED AND DISTRIBUTED, REACHING MORE THAN 180,000 HOMES. SEPSIS COMMUNITY OUTREACH AND PROGRAM DEVELOPMENT: SEPSIS EDUCATION WAS PROVIDED TO INCREASE SEPSIS AWARENESS AT LOCAL HEALTH FAIRS AND SEMINARS. EDUCATION ABOUT WHAT SEPSIS IS, WHAT IT LOOKS LIKE, AND WHEN TO SEEK TREATMENT WAS PROVIDED. NGMC ALSO ASSISTED UNAFFILIATED HEALTHCARE ORGANIZATIONS IN DEVELOPING SEPSIS NAVIGATION PROGRAMS TO HELP PROVIDE MORE EFFICIENT SEPSIS CARE. THIS REACHED APPROXIMATELY 692 COMMUNITY MEMBERS AT A COST OF $9,793 FOR NGMC IN FY22. DIABETES EDUCATION AND SCREENING: NGMC WORKED THROUGHOUT THE COMMUNITY TO EDUCATE AND SCREEN COMMUNITY MEMBERS FOR DIABETES AT NO CHARGE, CREATING OPPORTUNITIES TO EDUCATE INDIVIDUALS ABOUT THE RISKS OF DIABETES WHILE CHECKING BLOOD SUGAR LEVELS AND DETERMINING WHICH INDIVIDUALS NEEDED TO SEEK FURTHER MEDICAL TESTING FROM THEIR HEALTHCARE PROVIDER. PREVENTIVE EDUCATION WAS ALSO FACILITATED THROUGH PRE-DIABETIC SEMINARS AND HEALTH FAIR PARTICIPATION. THIS SUPPORT BENEFITED 193 COMMUNITY MEMBERS AT A COST OF $3,009 IN FY22 FOR NGMC. DIABETES SUPPORT GROUPS: NGMC PROVIDED DIABETES SUPPORT GROUPS FOR THOSE IN THE COMMUNITY SUPPORTING PEOPLE WITH OR LIVING WITH DIABETES. THESE SUPPORT GROUPS OFFERED A PLACE FOR 30 PEOPLE TO LEARN HOW TO MANAGE THEIR DIABETES, DISCUSS PROBLEMS, SHARE EXPERIENCES, AND CELEBRATE ACHIEVEMENTS WITH OTHERS. IN FY22, THIS SUPPORT CAME AT A COST OF $1,847 FOR NGMC.
FORM 990, PART III, LINE 4A	JENNINGS LECTURESHIP SERIES IN MEDICAL HUMANITIES: THANKS TO A SIGNATURE GIFT TO THE NGHS FOUNDATION FROM DR. JENNINGS' FAMILY, THE GME PROGRAM OF NGMC ANNUALLY HOSTS "THE HENRY S. JENNINGS, JR. MD, VISITING LECTURESHIP IN MEDICAL HUMANITIES." THE GOAL FOR THIS LECTURESHIP SERIES IS TO GIVE RESIDENT PHYSICIANS, LOCAL MEDICAL PROFESSIONALS, AND THE COMMUNITY AT LARGE NEW OPPORTUNITIES FOR LEARNING FROM OUTSTANDING SCHOLARS IN THE BROAD AND ENCOMPASSING FIELD OF MEDICAL HUMANITIES. IN FY22, THE JENNINGS LECTURE WAS "FINDING STRUCTURE IN CHAOS: PROTECTING THE HEALTHCARE WORKFORCE IN COVID-19 AND BEYOND," LED BY DR. JOSHUA C. MORGANSTEIN. THIS LECTURE INFORMED HEALTHCARE PERSONNEL ON CRITICAL PUBLIC MENTAL HEALTH PRINCIPLES AND ADAPTATION OF PRACTICES AND PROCEDURES FROM HIGH-STRESS OCCUPATIONS TO HELP ENHANCE WELL-BEING AND OPERATIONAL SUSTAINMENT DURING THE GLOBAL PANDEMIC. THIS SUPPORT AND LECTURE CAME AT A COST OF $5,266 FOR NGMC IN FY22. NICU EDUCATION AND SUPPORT: NGMC CONTINUED EDUCATION FOR HEALTHCARE PROFESSIONALS CARING FOR AND WORKING IN NEONATAL CARE. SIMULATION TRAINING IS A CORE PRINCIPLE OF NICU EDUCATION AND SUPPORT, ALONG WITH NGMC LEADERS SERVING IN NICU EDUCATIONAL ROLES THROUGHOUT OUR HEALTHCARE COMMUNITY. EDUCATION OPPORTUNITIES INCLUDED NGMC HOSTING A NEONATAL RESUSCITATION PROVIDER COURSE FOR PARAMEDIC STUDENTS AT LANIER TECH, RESULTING IN AN IMPROVEMENT OF INFANT TRANSPORT CIRCUMSTANCES IN 2022. ADDITIONALLY, NEONATAL COORDINATOR AUBREY WILLIAMS WAS ASKED TO SERVE AS A NEONATAL ABSTINENCE SYNDROME AND SUBSTANCE USE DISORDER CONTENT EXPERT FOR UNIVERSITY OF NORTH GEORGIA'S (UNG) HRSA SET GRANT BY THE SCHOOL OF NURSING. OVER THE COURSE OF FY22, WILLIAMS PARTICIPATED IN MEETINGS, CONTENT REVIEW, SIMULATION CREATION MEETINGS, AND EVEN GAVE A LECTURE ON THE TOPIC. THIS CONTINUED SUPPORT AND EDUCATION CAME AT A COST OF $6,507 FOR NGMC IN FY22. PASTORAL OUTREACH PROGRAMS: CLINICAL PASTORAL EDUCATION (CPE) IS AN EXPERIENCE-BASED EDUCATIONAL LEARNING MODEL FOR THOSE WHO WANT TO EXPLORE THEIR GIFTS OF PASTORAL CARE IN AN INSTITUTIONAL SETTING. THE PROGRAM INVOLVED READINGS, CLASSROOM INSTRUCTION, WRITTEN ASSIGNMENTS, GROUP INTERACTION, INDIVIDUAL AND GROUP SUPERVISION, AND SERVING AS A CHAPLAIN AT THE HOSPITAL. NGMC'S CLINICAL PASTORAL EDUCATION PROGRAM IS ACCREDITED THROUGH THE ASSOCIATION FOR CLINICAL PASTORAL EDUCATION, INC. THE PROGRAM CAME AT A COST OF $187,527 IN FY22, BENEFITING NEARLY 75 PEOPLE. MENTAL HEALTH QUESTION PERSUADE REFER (QPR) TRAINING: NGMC SUPPORTED SUICIDE PREVENTION TRAINING FOR THE COMMUNITY AT A COST OF $2,588 IN FY22. WORKFORCE DEVELOPMENT NGMC CONTINUES TO SERVE AS A "PIPELINE" TO HELP GET MORE QUALIFIED PEOPLE INTERESTED IN HEALTHCARE POSITIONS AND HELP PROVIDE TRAINING AND EDUCATION TO STUDENTS. THIS TRAINING AND EDUCATION ARE DONE THROUGH VARIOUS AVENUES, FROM JOB SHADOWING TO THE NURSE EXTERN PROGRAM AND PHARMACY RESIDENCY PROGRAM, AS WELL AS SIGNIFICANT SUPPORT TO FOOTHILLS AREA HEALTH EDUCATION CENTERS (AHEC). FOOTHILLS AHEC: FOOTHILLS AHEC IS A COMMUNITY-DRIVEN, NON-PROFIT CORPORATION SUPPORTED BY FEDERAL AND LOCAL SOURCES. THE MISSION IS TO INCREASE THE SUPPLY AND DISTRIBUTION OF HEALTHCARE PROVIDERS, ESPECIALLY IN MEDICALLY UNDERSERVED AREAS. THROUGH JOINT EFFORTS, COMMUNITIES EXPERIENCE IMPROVED SUPPLY, DISTRIBUTION, AND RETENTION OF QUALITY HEALTHCARE PROFESSIONALS. FOOTHILLS AHEC SERVES 31 COUNTIES IN THE NORTHEAST GEORGIA AREA. NGMC PROVIDED $92,838 IN SUPPORT OF AHEC IN FY22. ALLIED HEALTH STUDENT EDUCATION: NGMC PROVIDES CLINICAL ROTATIONS FOR ALLIED HEALTH STUDENTS. EDUCATIONAL AFFILIATION AGREEMENTS ARE MAINTAINED WITH EACH SCHOOL/PROGRAM, AND NGMC ENSURES COMPLETION OF ALL ORIENTATION AND STUDENT HEALTH REQUIREMENTS BEFORE ROTATIONS. STUDENTS WORK DIRECTLY WITH NGMC STAFF. IN FY22, 1,029 STUDENTS WERE PROVIDED EDUCATION AT A COST OF $1,071,487. GRADUATE MEDICAL EDUCATION (GME): NGMC'S GME PROGRAM IS DESIGNED TO TRAIN RESIDENTS TO BE LEADERS IN THE MEDICAL FIELD AND THE COMMUNITY. MEDICAL STUDENTS RECEIVE HANDS-ON TRAINING IN ONE OF SIX SPECIALTIES: INTERNAL MEDICINE, FAMILY MEDICINE, GENERAL SURGERY, OB/GYN, PSYCHIATRY, AND EMERGENCY MEDICINE. NGMC EXPECTS THIS PROGRAM TO GROW TO 200 RESIDENTS BY 2025, WHICH WOULD MAKE THIS PROGRAM ONE OF THE LARGEST IN THE STATE. THE GME PROGRAM IS ON TARGET, WITH 226 POSITIONS FILLED BY 2022. THIS CAME AT A COST OF $1,551,922 FOR NGMC IN FY22. EACH FOUR-YEAR PROGRAM OFFERS SIX RESIDENT SLOTS PER YEAR. HALL COUNTY HONORS MENTORSHIP PROGRAM: NGMC PARTNERS WITH THE HALL COUNTY SCHOOL SYSTEM TO MATCH JUNIOR AND SENIOR MENTORSHIP STUDENTS WITH A PROFESSIONAL IN THEIR SPECIFIC FIELD OF HEALTHCARE INTEREST AS PART OF REAL-LIFE CAREER EXPERIENCE IN AN HONORS LEVEL ELECTIVE. THE STUDENT SPENDS APPROXIMATELY FIVE HOURS A WEEK WITH A MENTOR DURING THE ACADEMIC YEAR AND ROTATES THROUGH MULTIPLE DEPARTMENTS. IN FY22, 17 STUDENTS PARTICIPATED IN THE PROGRAM AT A COST OF $72,227. PROJECT SEARCH: NGMC SUPPORTED PROJECT SEARCH, WHICH PROVIDES EMPLOYMENT AND EDUCATION OPPORTUNITIES FOR INDIVIDUALS WITH MILD TO MODERATE DISABILITIES. THE PROGRAM IS DEDICATED TO WORKFORCE DEVELOPMENT THAT BENEFITS THE INDIVIDUAL, COMMUNITY, AND WORKPLACE. THE HIGH SCHOOL TRANSITION PROGRAM IS A ONE-YEAR EDUCATIONAL PROGRAM FOR STUDENTS WITH DISABILITIES IN THEIR LAST YEAR OF HIGH SCHOOL. IT IS TARGETED FOR STUDENTS WHOSE MAIN GOAL IS COMPETITIVE EMPLOYMENT. THE STUDENTS WORK 20 HOURS PER WEEK IN EACH ASSIGNED DEPARTMENT. MENTORS ARE ASSIGNED IN EACH DEPARTMENT AND ATTEND A MONTHLY MEETING TO DISCUSS PROGRESS/NEEDS OF STUDENTS. VARIOUS NGMC EMPLOYEES, IN ADDITION TO THE MENTORS, OFFER ASSISTANCE AND EDUCATION AS NEEDS ARISE. THIS PROGRAM SUPPORT CAME AT A COST OF $89,250. CLINICAL SIMULATION: NGMC IS A PROUD FACILITATOR OF SIMULATION LEARNING, DESIGNED FOR PARTICIPANTS TO PRACTICE PATIENT SAFETY BY IMPROVING DETECTION AND RESPONSE TO POTENTIAL COMPLICATIONS, FACILITATING THE DEVELOPMENT OF COMMUNICATION AND COLLABORATION, AND INCORPORATING EVIDENCE-BASED PRACTICE AND STANDARDS OF PROFESSIONAL PRACTICE. HANDS-ON SIMULATION WAS PROVIDED TO STUDENTS OF UNIVERSITY OF NORTH GEORGIA, LEADERSHIP GEORGIA, BRENAU UNIVERSITY, GAINESVILLE HIGH SCHOOL, AND LANIER ACADEMY HIGHSCHOOL. THIS EDUCATION BENEFITED 210 HEALTHCARE PROFESSIONALS AT A COST OF $12,790 FOR NGMC IN FY22. NURSING STUDENT EDUCATION: NGMC PROVIDES CLINICAL ROTATIONS FOR NURSING STUDENTS AT NGMC, INCLUDING FACULTY AND STUDENT ORIENTATION, THE EDUCATIONAL AFFILIATION AGREEMENT MAINTENANCE, AND COMPLETION OF ALL HEALTH AND LEGAL REQUIREMENTS BEFORE THE FIRST ROTATION. DURING FY22, THERE WERE MORE THAN 3,909 NURSING STUDENTS PARTICIPATING IN THE PROGRAM AT A COST OF APPROXIMATELY $2 MILLION FOR NGMC. NURSING EXCELLENCE: NGMC'S NURSING EXCELLENCE DEPARTMENT SPONSORS NURSING EDUCATION PROGRAMS FOR ASPIRING NURSES IN THE FOLLOWING FIELDS: CERTIFIED NURSING ASSISTANTS, LICENSED PRACTICAL NURSES, NURSE PRACTITIONERS, AND PATIENT CARE TECHS. NURSING EXCELLENCE FUNDS PROGRAMS AT LANIER TECH, NORTH GEORGIA TECH, AND UNIVERSITY OF NORTH GEORGIA. THIS SUPPORT CAME AT A COST OF $1.7 MILLION FOR NGMC IN FY22. SUPPORT OF EFFORTS TO IMPROVE COMMUNITY HEALTH COMMUNITY HEALTH NEEDS ASSESSMENT: IN FY22, NGMC AND ITS PARTNERS CONDUCTED A REGIONAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). NGMC'S ASSESSMENT INCLUDED COMMUNITY INPUT AND A QUANTITATIVE ASSESSMENT PERFORMED BY PUBLIC GOODS GROUP. THIS EFFORT CAME AT A COST OF $152,789 FOR NGMC IN FY22. COMMUNITY BENEFIT OPERATIONS: THE COMMUNITY HEALTH IMPROVEMENT DEPARTMENT COORDINATES MOST COMMUNITY BENEFIT ACTIVITIES THROUGHOUT THE HEALTH SYSTEM, INCLUDING THE TRIENNIAL COMMUNITY HEALTH NEEDS ASSESSMENT, COMMUNITY PARTNERSHIPS, NONPROFIT ORGANIZATION SUPPORT, AND OTHER RELEVANT PROGRAMMING. THIS SUPPORT CAME AT A COST OF $204,087 FOR NGMC IN FY22.
FORM 990, PART III, LINE 4A	JUNETEENTH HEALTH FAIR: ON JUNE 11, 2022, NGMC PARTNERED WITH NEWTOWN FLORIST CLUB AND THE GAINESVILLE-HALL COUNTY BLACK HISTORY SOCIETY TO PLAN AND IMPLEMENT THE HEALTH CARE RESOURCE PORTION OF THE JUNETEENTH CELEBRATION IN GAINESVILLE. NGMC AND OTHER COMMUNITY-BASED ORGANIZATIONS PARTICIPATED IN HEALTH PANELS, HEALTH EDUCATION RESOURCE TABLES, AND FREE HEALTH SCREENINGS FOR ATTENDEES. THE PARTNERS PROVIDED RESOURCES TO IMPROVE OUTREACH AND ACCESS TO THE AFRICAN AMERICAN COMMUNITY IN HALL COUNTY. PARTNERS INCLUDED GOOD NEWS CLINICS, DEPARTMENT OF PUBLIC HEALTH DISTRICT 2, HALL COUNTY SENIOR SERVICES, GEORGIA HEART INSTITUTE, NORTHEAST GEORGIA HEALTH SYSTEM'S FINANCIAL NAVIGATOR SERVICES, NORTHEAST GEORGIA PHYSICIANS GROUP, LONGSTREET CLINIC, SAFE KIDS NORTHEAST GEORGIA, UNITED WAY OF HALL COUNTY COMPASS CENTER, AND UNITED WAY OF HALL COUNTY'S ONE HALL. NORTHEAST GEORGIA HEALTH SYSTEM HOSTED HEALTH SEMINARS. THE FINANCIAL NAVIGATORS FROM NORTHEAST GEORGIA HEALTH SYSTEM SHARED INFORMATION ABOUT FINANCIAL SUPPORT RESOURCES AT NGMC AND HOW COMMUNITY MEMBERS CAN TAKE ADVANTAGE OF PROGRAMS DESIGNED TO ASSIST THOSE WHO NEED HELP PAYING FOR HEALTHCARE. ADDITIONALLY, DR. KEVIN CHARLES, A PHYSICIAN AT NGMC, LED A SEMINAR TO TEACH AUDIENCE MEMBERS THE SIGNS AND SYMPTOMS OF PROSTATE CANCER. ANOTHER SEMINAR LED BY NGMC PHYSICIAN DR. ERIN RAYBON-ROJAS FOCUSED ON THE SMALL STEPS THAT CAN HAVE A BIG IMPACT ON A PERSON'S OVERALL HEALTH. THE SUPPORT FOR THIS EVENT COST $12,023 FOR NGMC IN FY22. MARCH OF DIMES' MARCH FOR BABIES: NGMC SPONSORS THE MARCH OF DIMES WALK IN HALL COUNTY. PROCEEDS BENEFIT THE FIGHT TO PREVENT BIRTH DEFECTS AND RELATED LOW BIRTH WEIGHT AND INFANT MORTALITY PROBLEMS. THIS ENTRY DOES NOT INCLUDE EMPLOYEE GIVING AND ONLY REFLECTS EXPENSES ASSOCIATED WITH NGMC SPONSORSHIPS AT A COST OF $4,500 FOR NGMC IN FY22. AMERICAN HEART ASSOCIATION SPONSORSHIPS-HALL COUNTY: NGMC SUPPORTED THE AMERICAN HEART ASSOCIATION'S HEART WALK AND GO RED FOR WOMEN LUNCHEON IN GAINESVILLE, BENEFITING RESEARCH AND LOCAL COMMUNITY EDUCATION AT A COST OF $33,750 IN FY22. AMERICAN CANCER SOCIETY RELAY FOR LIFE: NGMC WAS THE PRESENTING SPONSOR FOR THE AMERICAN CANCER SOCIETY'S RELAY FOR LIFE HALL COUNTY EVENT. THE WALK BENEFITS CANCER RESEARCH AND COMMUNITY EDUCATION. NGMC EMPLOYEE DONATIONS TOTALED $13,000 AND THE REGIONAL SPONSORSHIP TOTALED NEARLY $40,000 IN FY22. NGMC ALSO SPONSORED RELAY FOR LIFE IN THE FOLLOWING COUNTIES: HALL, DAWSON, HABERSHAM, JACKSON, LUMPKIN, GWINNETT, AND UNION. PARTNERSHIP FOR GYNECOLOGICAL CANCER SUPPORT: NGMC PROVIDED SUPPORT TO THE PARTNERSHIP FOR GYNECOLOGICAL CANCER SUPPORT (PGCS). THE MISSION OF PGCS IS TO HELP ALLEVIATE SOME OF THE FINANCIAL BURDENS FOR THE WOMEN OF NORTHEAST GEORGIA WHO ARE UNDERGOING TREATMENT FOR GYNECOLOGICAL CANCER BY PROVIDING FUNDS FOR FOOD, GAS FOR TRANSPORTATION TO TREATMENT, AND MEDICATIONS NOT COVERED BY INSURANCE. NGMC PROVIDED THIS SUPPORT AT A COST OF $2,700 IN FY22. BLOOD DRIVES: IN FY22, NGMC HOSTED 18 DRIVES, WITH A TOTAL 413 PARTICIPANTS DONATING 396 PINTS OF BLOOD. THIS SUPPORT CAME AT A COST OF $6,840 FOR NGMC IN FY22. EMPLOYEE STAFF TIME FOR WATCH, NGHS FOUNDATION: THE WATCH EMPLOYEE GIVING COMMITTEE RAISES FUNDS TO SUPPORT HEALTH SYSTEM INITIATIVES IMPACTING THE GREATER COMMUNITY SUCH AS DONATIONS TOWARD CAMP BRAVEHEART RESEARCH AND COMMUNITY EDUCATION THROUGH THE AMERICAN HEART ASSOCIATION, AMERICAN CANCER SOCIETY, AND CHANGE GRANTS THAT SUPPORT PROJECTS SUCH AS BOOKS FOR BABIES. EMPLOYEES HAVE DONATED MORE THAN $11M IN CARE SINCE THE PROGRAM'S INCEPTION IN 1999. EMPLOYEE STAFF TIME TOWARDS COMMITTEE WORK THAT SUPPORTS THESE EFFORTS TOTALED $8,466 N FY22. ENCOURAGING MEDICAL VOLUNTEERING: NGMC PROVIDED INFORMATION AT PHYSICIAN ORIENTATIONS TO ENCOURAGE PHYSICIANS TO STEP UP TO VOLUNTEER AT LOCAL FREE CLINICS. NGPG ALSO ENCOURAGES PHYSICIANS TO GIVE OF THEIR TIME VOLUNTEERING AT THESE LOCATIONS. NGMC PHYSICIANS ACTIVELY PARTICIPATE IN COMMUNITY OUTREACH THROUGH VARIOUS PHYSICIAN LEADERSHIP COUNCILS, INCLUDING EDUCATIONAL SEMINARS, SCREENINGS, CANCER PREVENTION, AND VOLUNTEERING IN REGIONAL INDIGENT CLINICS. BREASTFEEDING SUPPORT GROUP: NGMC HOLDS A BREASTFEEDING SUPPORT GROUP AT ITS LOCATIONS, OFFERING MOTHERS A TIME AND PLACE TO CONNECT AND DISCUSS BREASTFEEDING RELATED ISSUES WITH THE GUIDANCE OF A BOARD-CERTIFIED LACTATION CONSULTANT. THE GROUP GOAL IS TO PROVIDE THE MOTHER AND PARENTS WITH THE TOOLS AND SUPPORT THEY NEED TO BE SUCCESSFUL BREASTFEEDING AND OR PROVIDING BREASTMILK FOR THEIR INFANT. THE ONGOING SUPPORT GROUP MET TWO TIMES EACH MONTH IN GAINESVILLE AND ONE TIME EACH MONTH IN BRASELTON. THIS SUPPORT GROUP CAME AT A COST OF $10,852 FOR NGMC IN FY22. SOUTHEASTERN BRAIN TUMOR FOUNDATION: NGMC PROVIDED SUPPORT FOR THE SOUTHEASTERN BRAIN TUMOR FOUNDATION. WHOSE PRIMARY MISSION IS TO IMPROVE THE QUALITY OF LIFE FOR BRAIN TUMOR PATIENTS AND THEIR FAMILIES. THE ORGANIZATION ALSO AIMS TO FUND RESEARCH FOR THE TREATMENT AND CURE OF THIS CONDITION. THIS SUPPORT CAME AT A DONATION OF $450 FOR NGMC IN FY22. GLORY, HOPE, AND LIFE SPONSORSHIP: NGMC SUPPORTED GLORY, HOPE, AND LIFE TO HELP IMPROVE THE LIVES OF INDIVIDUALS, THEIR FAMILIES, AND CAREGIVERS IN THE COMMUNITY WHO HAVE BEEN TOUCHED BY CANCER. THIS SUPPORT CAME AT AN ESTIMATED COST OF $15,000 FOR NGMC IN FY22. KEATON FRANKLIN COKER FOUNDATION THUMBS UP MISSION: NGMC HELPED SUPPORT THIS ORGANIZATION WHOSE MISSION IS TO FORTIFY FAMILIES IN WHICH A PARENT OR CHILD IS FIGHTING CANCER. THIS SUPPORT CAME AT A COST OF $2,500. CANCER PATIENT NAVIGATOR: NGMC'S PATIENT NAVIGATION PROGRAM PROVIDES CANCER PATIENTS WITH GUIDANCE THROUGHOUT THEIR CANCER JOURNEY AND ACTS AS A "LIVING RESOURCE DIRECTORY" FOR PATIENTS. SERVICES INCLUDE CONNECTING WITH COMMUNITY RESOURCES, PROVIDING EMOTIONAL SUPPORT, HELPING PATIENTS UNDERSTAND THEIR DIAGNOSIS, COMMUNICATING WITH HEALTHCARE STAFF AND PROVIDERS, ADDRESSING LOGISTICAL ISSUES SUCH AS TRANSPORTATION NEEDS, AND HELPING PATIENTS UNDERSTAND MEDICAL TERMS AND TREATMENT OPTIONS. THESE EFFORTS SUPPORTED 13,019 PEOPLE AT A TOTAL ESTIMATED COST OF $521,086 IN FY22. CANCER SCREENINGS: IN FY22, NGMC GAINESVILLE AND BRASELTON CONDUCTED FREE CANCER SCREENINGS AT A COST OF $6,339. UNITED WAY TOP CORPORATE FUNDRAISER: AT THE FY22 UNITED WAY OF HALL COUNTY CAMPAIGN KICKOFF, NGMC GAINESVILLE WAS NAMED AS ONE OF THE TOP THREE COMPANY FUNDRAISERS. YOUTH DEVELOPMENT PARTNERS IN EDUCATION: NGMC IS A PARTNER IN EDUCATION WITH LOCAL HIGH SCHOOLS. AS SUCH, NGMC SUPPORTS EACH SCHOOL IN VARIOUS PROJECTS RELATED TO HEALTHCARE AND THE EARLY PREPARATION OF STUDENTS FOR CAREERS IN THIS FIELD, INCLUDING THE REWARDING OF SCHOLARSHIPS, FACILITATING NGMC CAMPUS TOURS, AND PARTICIPATION IN EDUCATIONAL PARTNERS ADVISORY BOARD AND EDUCATION AFFILIATION MEETINGS. THIS SUPPORT CAME AT A COST OF $2,273 IN FY22. READ LEARN SUCCEED INITIATIVE: IN AN EFFORT TO IMPROVE SCHOOL READINESS AND LITERACY FOR THE COMMUNITY'S CHILDREN, NGMC PARTNERED WITH THE UNITED WAY OF HALL COUNTY'S READ LEARN SUCCEED INITIATIVE TO PRODUCE A CHILDREN'S BOOK TO BE GIVEN TO ALL BABIES BORN AT NGMC GAINESVILLE AND BRASELTON. PRINTED IN ENGLISH AND SPANISH, WELCOME TO THE WORLD PROVIDES EDUCATION ABOUT THE IMPORTANCE OF READING TO CHILDREN EVERY DAY, FOR AT LEAST 15 MINUTES, STARTING AT BIRTH. THIS BOOK IS GIVEN TO BABIES BORN AT NGMC. NGMC COVERED THE FULL COST OF THE BOOKS, TOTALING $15,810 IN FY22. HALL COUNTY PROJECT AWARE: NGMC GAINESVILLE PROVIDED A DONATION TOWARD HALL COUNTY SCHOOL DISTRICT'S PROJECT AWARE. THE PURPOSE OF PROJECT AWARE IS TO INCREASE AWARENESS OF MENTAL HEALTH ISSUES AMONG SCHOOL-AGED YOUTH. THE FY22 DONATION WAS UTILIZED TO PAY THE SPEAKER PER DIEM FOR KEVIN HINES, A MENTAL AND BEHAVIORAL HEALTH KEYNOTE SPEAKER, AT A COST OF $5,000 FOR NGMC IN FY22. BOY SCOUTS OF AMERICA: NGMC SUPPORTS BOY SCOUTS OF AMERICA, HELPING FUND PROGRAMS THAT TEACH CHILDREN THE VALUES OF CITIZENSHIP, CHARACTER DEVELOPMENT, AND PERSONAL FITNESS. SUPPORT FOR BOY SCOUTS OF AMERICA CAME AT THE COST OF $4,500 FOR NGMC IN FY22. GIRL SCOUTS OF HISTORIC GEORGIA SUPPORT: NGMC SUPPORTED THE GIRL SCOUTS OF HISTORIC GEORGIA, AN ORGANIZATION SERVING OVER 5,000 GIRLS AGES 5-17 IN 25 COUNTIES ANNUALLY IN NORTHEAST GEORGIA. THIS SUPPORT CAME AT THE COST OF $3,000 TO NGMC IN FY22. EDMONDSON-TELFORD CENTER FOR CHILDREN: NGMC HELPED SUPPORT THE EDMONDSON-TELFORD CENTER FOR CHILDREN, A CHILD ADVOCACY CENTER PROVIDING A SAFE, CHILD-FRIENDLY PLACE FOR FORENSIC INTERVIEWS OF CHILD ABUSE VICTIMS. FURTHERING THIS SUPPORT, AN NGMC STAFF MEMBER SITS ON THE BOARD OF DIRECTORS. THIS DONATION CAME AT A COST OF APPROXIMATELY $4,000 TO NGMC IN FY22.
FORM 990, PART III, LINE 4A	INTERACTIVE NEIGHBORHOOD FOR KIDS, INC. (INK): NGMC SPONSORED A HOSPITAL EXHIBIT IN THE INTERACTIVE CHILDREN'S MUSEUM, A MUSEUM DESIGNED TO ENCOURAGE CHILDREN OF ALL AGES TO DEVELOP THEIR FULL POTENTIAL THROUGH EXCITING HANDS-ON LEARNING EXPERIENCES AND TO PROMOTE THE IDEA OF CAREERS IN HEALTH SERVICES. THIS SUPPORT FOR INK CAME AT A COST OF $6,300 IN FY22. EAGLE RANCH SUPPORT: NGMC DONATED TOWARD EAGLE RANCH, WHICH PROVIDES A CHRIST-CENTERED HOME FOR YOUTH AGED 6 TO 18 WHO ARE IN NEED OF A STRONGER FAMILY SUPPORT SYSTEM. THEIR GOAL IS THE SPIRITUAL, INTELLECTUAL, EMOTIONAL, SOCIAL, AND PHYSICAL DEVELOPMENT OF CHILDREN AND THE EVENTUAL REUNIFICATION WITH THEIR NATURAL FAMILIES WHENEVER POSSIBLE. THIS SUPPORT CAME AT A COST OF $1,000 FOR NGMC IN FY22. DONATIONS/COMMUNITY SUPPORT NORTHEAST GEORGIA HISTORY CENTER SUPPORT: NGMC PROVIDED FUNDS TO SUPPORT AN EVENT TO HONOR A COMMUNITY LEADER WITH PROCEEDS GOING TO SUPPORT THE CENTER IN FULFILLING ITS MISSION OF EDUCATION, HISTORIC PRESERVATION, AND COMMUNITY OUTREACH. E.E. BUTLER, THE FIRST AFRICAN AMERICAN DOCTOR TO RECEIVE PRIVILEGES TO PRACTICE MEDICINE IN HALL COUNTY, WAS HONORED. THIS SUPPORT CAME AT A COST OF $9,000 FOR NGMC IN FY22. JOHN JARRARD FOUNDATION SUPPORT: NGMC DONATED TOWARD THE JOHN JARRARD FOUNDATION, AN ORGANIZATION SUPPORTING THE BOYS AND GIRLS CLUB OF HALL COUNTY, GOOD NEWS CLINICS, GOOD NEWS AT NOON SHELTER, AND THE GEORGIA MOUNTAIN FOOD BANK. THIS DONATION CAME AT A COST OF $9,000 TO NGMC IN FY22. OFFICE SPACE PROVIDED TO AMERICAN RED CROSS: NGMC PROVIDED OFFICE SPACE TO THE AMERICAN RED CROSS IN FY22 AT A VALUE OF $105,765. OFFICE SPACE PROVIDED FOR USMC TOYS 4 TOTS: NGMC PROVIDED OFFICE SPACE FOR THE USMC TOYS 4 TOTS FOR FY22 AT A VALUE OF APPROXIMATELY $60,072. CENTER POINT SUPPORT: NGMC SUPPORTED CENTER POINT BY PROVIDING A CASH DONATION. CENTER POINT TRAINS AND PAIRS MENTORS WITH AT-RISK YOUTH IN GAINESVILLE AND HALL COUNTY. ADDITIONALLY, CENTER POINT PROVIDES CLASSES AND OTHER PROGRAMS FOR TEENS AND THEIR FAMILIES. THIS SUPPORT CAME AT A TOTAL COST OF $4,500 FOR NGMC IN FY22. GATEWAY DOMESTIC VIOLENCE CENTER: THROUGH CRISIS INTERVENTION, COMPREHENSIVE SUPPORT, AND COMMUNITY COLLABORATION, GATEWAY DOMESTIC VIOLENCE CENTER HELPS CREATE AN ENVIRONMENT FOR CLIENTS THAT OFFERS SAFE, HEALTHY, SELF-SUFFICIENT GROWTH AND VIOLENCE PREVENTION. THE NGMC CHIEF OF STAFF IS A BOARD MEMBER. NGMC PROVIDED A $1,500 DONATION TO GATEWAY DOMESTIC VIOLENCE CENTER IN FY22. SALVATION ARMY SUPPORT: NGMC HELPED SUPPORT THE SALVATION ARMY, WHICH SERVES PEOPLE IN NEED THROUGH FOOD DISTRIBUTION, EMERGENCY ASSISTANCE, AND ASSISTANCE FOR THE UNHOUSED COMMUNITY. THIS SUPPORT CAME AT A COST OF $1,350 FOR NGMC IN FY22. ROTARY CLUB OF SOUTH HALL SUPPORT: NGMC SPONSORED THE ROTARY CLUB OF SOUTH HALL COUNTY'S FUNDRAISER TO BENEFIT COMMUNITY PROGRAMS SUCH AS FOSTER CHILDREN'S PROGRAMS, UNG FOOD PANTRY PROGRAM AND SCHOLARSHIP FUND, AND MORE. THIS SUPPORT CAME AT A COST OF $900 TO NGMC IN FY22. ROTARY CLUB OF GAINESVILLE: NGMC WAS A SPONSOR FOR THE ROTARY CLUB OF GAINESVILLE'S ANNUAL GOLF TOURNAMENT BENEFITING THE HART JOINER FUND FOR CHILDREN AND YOUTH. THIS SUPPORT CAME AT A COST OF $450 TO NGMC IN FY22. ROTARY CLUB OF DAWSON: NGMC SPONSORED THE ROTARY CLUB OF DAWSON FOOD DISTRIBUTION PROGRAM, WHICH SERVED OVER 600 MEALS TO ELDERLY AND FOOD INSECURE RESIDENTS OF DAWSON COUNTY. THIS SUPPORT CAME AT A COST OF $2,250 TO NGMC IN FY22. ROTARY CLUB OF BUFORD: NGMC PROVIDED A CASH DONATION TOWARD THE ROTARY CLUB OF BUFORD'S COMMUNITY EVENT, WITH PROCEEDS GOING TO THE NORTH GWINNETT CO-OP WHICH PROVIDES HEALTHY FOOD AND UTILITY SUPPORT TO FAMILIES IN NEED IN BUFORD AND THE SURROUNDING AREA. THIS SUPPORT CAME AT A COST OF $900 TO NGMC IN FY22. SPECIAL KNEADS AND TREATS: NGMC PROVIDED A DONATION TO SPECIAL KNEADS AND TREATS, AN ORGANIZATION THAT PROVIDES SPECIAL NEEDS ADULTS WITH AN OPPORTUNITY TO RECEIVE GAINFUL EMPLOYMENT IN A SAFE AND REWARDING ENVIRONMENT. THIS SUPPORT CAME AT A COST OF $500 IN FY22. SPORTS MEDICINE ATHLETIC CARE: THE SPORTS MEDICINE ATHLETIC TRAINING DEPARTMENT PROVIDED MEDICAL CARE TO 16 LOCAL HIGH SCHOOLS, THREE LOCAL UNIVERSITIES, AND MANY OTHER LOCAL SPORTS VENUES, PROGRAMS, AND DEPARTMENTS. THE TRAINERS PROVIDE THIS CARE DURING PRACTICES AND GAMES THROUGHOUT THE YEAR. THEY PROVIDE INJURY ASSESSMENT, REHABILITATION, TAPING/BRACING, EXERCISE PRESCRIPTION, ENVIRONMENTAL AWARENESS (HEAT AND LIGHTNING), CONCUSSION MANAGEMENT, CPR TRAINING, NUTRITIONAL SPEECHES, AND EMERGENCY COVERAGE AT COMMUNITY EVENTS. THIS SUPPORT CAME AT A COST OF OVER $277,000 IN FY22. HISPANIC ALLIANCE: NGMC PARTNERED WITH THE LOCAL HISPANIC ALLIANCE, SPONSORING SCHOLARSHIPS AT A COST OF $4,500 TO NGMC IN FY22. GEORGIA MOUNTAIN FOOD BANK SPONSORSHIP: NGMC WAS A SPONSOR OF THE EMPTY BOWL EVENT IN SUPPORT OF THE GEORGIA MOUNTAIN FOOD BANK. THIS ORGANIZATION PROVIDES A VITAL LINK BETWEEN SOURCES OF FOOD SUPPLIES AND HARDWORKING COMMUNITY-BASED PARTNER AGENCIES THAT HELP GET THE FOOD INTO THE HANDS OF FAMILIES AND INDIVIDUALS WHO NEED IT. THIS SPONSORSHIP CAME AT A COST OF $3,150 IN FY22. ELACHEE NATURE CENTER SUPPORT: NGMC SUPPORTED THE ELACHEE NATURE SCIENCE CENTER, WHICH IS AN ENVIRONMENTAL EDUCATION FACILITY IN GAINESVILLE. ELACHEE PROVIDES ENVIRONMENTAL LITERACY THROUGH QUALITY EDUCATIONAL FIELD TRIP EXPERIENCES, MUSEUM EXHIBITS, PROGRAMS FOR FAMILIES AND CHILDREN AND RESOURCES FOR SCHOOLS, SCOUTS, GROUPS, AND THE PUBLIC. THIS CENTER ALSO PROVIDES GREEN SPACE AND WALKING TRAILS. AS A PRIORITY IN THE GREATER HALL CHAMBER OF COMMERCE VISION 2030, NGMC SUPPORTS THIS INITIATIVE TO ENCOURAGE A HEALTHIER QUALITY OF LIFE THROUGH IMPROVING ENVIRONMENTAL HEALTH AND PHYSICAL ACTIVITY. THIS SUPPORT CAME AT A COST OF $9,000 FOR NGMC IN FY22. CHILDREN'S CENTER FOR HOPE AND HEALING: NGMC PROVIDED A SPONSORSHIP FOR THE CHILDREN'S CENTER FOR HOPE AND HEALING NORTHEAST GEORGIA TRAUMA CONFERENCE. THIS ORGANIZATION IS A COMMUNITY NONPROFIT PROVIDING COUNSELING SERVICES TO CHILDREN AFFECTED BY SEXUAL ABUSE. THIS SUPPORT TOTALED A COST OF $1,350 FOR NGMC IN FY22. WOMEN'S SUPPORT JUNIOR LEAGUE OF GAINESVILLE AND HALL COUNTY: NGMC SUPPORTED THE JUNIOR LEAGUE OF GAINESVILLE AND HALL COUNTY. SERVING AN EXCLUSIVELY EDUCATIONAL AND CHARITABLE PURPOSE, THIS ORGANIZATION OF WOMEN PROMOTES VOLUNTEERISM, DEVELOPS THE POTENTIAL OF WOMEN, AND IMPROVES THE COMMUNITY THROUGH THE EFFECTIVE ACTION AND LEADERSHIP OF TRAINED VOLUNTEERS. THIS SUPPORT CAME AT A COST OF $2,250 TO NGMC IN FY22. WOMENSOURCE SPONSORSHIP: NGMC PROVIDED SUPPORT FOR WOMENSOURCE, A NON-PROFIT ORGANIZATION DESIGNED TO HELP WOMEN SUCCEED PROFESSIONALLY AND PERSONALLY WITH EDUCATION ON HEALTH AND FINANCES. THIS SPONSORSHIP CAME AT A COST OF $4,500 TO NGMC IN FY22. ACCREDITATIONS, AWARDS AND RECOGNITION COMPREHENSIVE CENTER WITH OBESITY MEDICINE QUALIFICATIONS ACCREDITATION: IN FY22, NGMC ACHIEVED ACCREDITATION AS A COMPREHENSIVE CENTER WITH OBESITY MEDICINE QUALIFICATIONS UNDER THE METABOLIC AND BARIATRIC SURGERY ACCREDITATION AND QUALITY IMPROVEMENT PROGRAM (MBSAQIP). THIS DESIGNATION HIGHLIGHTED THE HOSPITAL'S COMMITMENT TO QUALITY PATIENT CARE IN THE FIELD AND HIGH-QUALITY MEDICAL WEIGHT-LOSS SERVICES. CANCER SERVICES ACCREDITATION: IN FY22, NGMC'S CANCER SERVICES RECEIVED RENEWED ACCREDITATION BY THE AMERICAN COLLEGE OF SURGEONS (ACS) A DESIGNATION NGMC HAS MAINTAINED SINCE 1958. THE ACCREDITATION RECOGNIZES NGMC COMMITMENT TO COMPREHENSIVE, HIGH-QUALITY, AND MULTIDISCIPLINARY PATIENT-CENTERED CARE, ITS ONGOING QUALITY IMPROVEMENT EFFORTS AND ITS CONTRIBUTIONS TO CANCER PREVENTION AND EARLY DETECTION. DUAL CENTER OF EXCELLENCE ACCREDITATIONS: IN EARLY 2022, NGMC BRASELTON EARNED ACCREDITATION AS A CENTER OF EXCELLENCE IN MINIMALLY INVASIVE GYNECOLOGY AND ROBOTIC SURGERY FROM THE SURGICAL REVIEW CORPORATION (SRC), AN INTERNATIONALLY RECOGNIZED PATIENT SAFETY ORGANIZATION. ADDITIONALLY, TWO NGMC NURSES WERE RECOGNIZED AS CARE SPECIALISTS FOR THEIR EXPERTISE CLAIRE NICHOLS, RN, IN MINIMALLY INVASIVE GYNECOLOGY, AND LESLIE EVAN, RN, IN ROBOTIC SURGERY. COMPREHENSIVE STROKE CENTER CERTIFICATION: NGMC GAINESVILLE RECEIVED THE COMPREHENSIVE STROKE CENTER CERTIFICATION FROM DET NORSKE VERITAS (DNV), THE HIGHEST CERTIFICATION AWARDED TO HOSPITALS FOR THEIR TREATMENT OF SERIOUS STROKE EVENTS. NGMC GAINESVILLE IS THE ONLY HOSPITAL NORTH OF METRO ATLANTA TO RECEIVE THIS CERTIFICATION. ADDITIONALLY, NGMC BRASELTON AND NGMC BARROW WERE RECERTIFIED AS PRIMARY STROKE CENTERS. COVID-19 CARE LEADER: NGMC GAINESVILLE WAS RECOGNIZED AS ONE OF THE NATION'S TOP 24 HOSPITALS FOR PROVIDING EXCEPTIONAL COVID-19 CARE DURING THE EARLY MONTHS OF THE PANDEMIC BY HEALTHGRADES, A THIRD-PARTY ONLINE RESOURCE FOR COMPREHENSIVE INFORMATION ABOUT PHYSICIANS AND HOSPITALS. THE LIST WAS CHOSEN BY ANALYZING CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS) DATA FROM JANUARY THROUGH SEPTEMBER OF 2020.
FORM 990, PART III, LINE 4A	HOSPICE HONORS ELITE RECIPIENT: IN FY22, HOSPICE OF NGMC WAS THE ONLY HOSPICE PROVIDER IN THE REGION TO RECEIVE THE 2021 HOSPICE HONORS ELITE AWARD, WHICH RECOGNIZES AGENCIES THAT PROVIDE THE HIGHEST QUALITY HOSPICE CARE. MOST WIRED LEVEL 9 AWARD: NGMC IS ONE OF ONLY TWO HOSPITALS IN GEORGIA TO RECEIVE MOST WIRED LEVEL 9, ONE OF THE HIGHEST LEVELS OF RECOGNITION FOR USING TECHNOLOGY TO IMPROVE HEALTHCARE QUALITY AND COST. THE COLLEGE OF HEALTHCARE INFORMATION MANAGEMENT EXECUTIVES (CHIME) INCLUDED NGMC ON ITS ANNUAL LIST OF HEALTHCARE'S MOST WIRED FOR 2021, MAKING IT THE EIGHTH YEAR NGMC HAS MADE THE LIST. THE MOST WIRED PROGRAM CONDUCTS AN ANNUAL SURVEY TO ASSESS HOW EFFECTIVELY HEALTHCARE ORGANIZATIONS APPLY INFORMATION TECHNOLOGIES INTO THEIR CLINICAL AND BUSINESS PROGRAMS TO IMPROVE PATIENT SAFETY AND OUTCOMES IN THEIR COMMUNITIES. LEVEL 9 ORGANIZATIONS ARE SEEN AS LEADERS IN HEALTHCARE TECHNOLOGY THAT ACTIVELY PUSH THE INDUSTRY FORWARD. NOT ONLY HAVE THEY DEPLOYED ADVANCED TECHNOLOGIES, BUT THEY ENCOURAGE DIGITAL ADOPTION ACROSS THEIR ORGANIZATIONS. INTERVENTIONAL CARDIOLOGY PROGRAM MILESTONE: IN FY22, NGMC GAINESVILLE CELEBRATED THE 20TH ANNIVERSARY OF THE INTERVENTIONAL PROGRAM AND THE OPENING OF THE CATHETERIZATION LAB AT THE HOSPITAL. SINCE THEN, NGMC HAS PERFORMED OVER 50,000 PROCEDURES. NATIONAL NURSING LEADERSHIP AWARD: IN SPRING 2022, JESSE GIBSON, TRAUMA PROGRAM DIRECTOR AT NGMC, WAS NAMED THE 2022 SOCIETY OF TRAUMA NURSES (STN) LEADERSHIP AWARD RECIPIENT, AN AWARD PRESENTED ANNUALLY TO AN INDIVIDUAL WHO HAS DEMONSTRATED OUTSTANDING LEADERSHIP IN TRAUMA AT THE LOCAL, STATE, AND NATIONAL LEVEL. UGA COLLEGE OF PHARMACY PRECEPTOR OF THE YEAR: AMY KNAUSS, PHARMD, BCPS WHO SERVES AS THE CLINICAL COORDINATOR FOR THE INPATIENT PHARMACY AT NGMC WAS RECOGNIZED BY THE UNIVERSITY OF GEORGIA COLLEGE OF PHARMACY AS 2021-22 PRECEPTOR OF THE YEAR FOR THE NORTH GEORGIA AREA. WITH THE NORTH GEORGIA AREA CONSISTING OF NORTHEAST GEORGIA AND ALL OF ATLANTA, THE RECOGNITION IS EVEN MORE SIGNIFICANT DUE TO THE LARGE GROUP OF TALENTED PRECEPTORS FROM WHICH AMY WAS SELECTED. OF NOTE, NGMC AND NGPG PHARMACY TEAMS PRECEPT UP TO FOUR SECOND-YEAR PHARMACY STUDENTS AND UP TO 20 FOURTH-YEAR PHARMACY STUDENTS EACH YEAR. NGMC BARROW HIGHLIGHTS OF NGMC BARROW COMMUNITY BENEFIT ACTIVITIES: NGMC BARROW VALUES COOPERATIVE EFFORTS WITH COMMUNITY ORGANIZATIONS AND OTHER HEALTHCARE PROVIDERS TO IMPROVE THE HEALTH STATUS OF AREA RESIDENTS. THE ORGANIZATION DEMONSTRATES THIS THROUGH COMMUNITY PARTNERSHIPS AND SUPPORT. NGMC BARROW SUPPORTED THE COMMUNITY IN A VARIETY OF WAYS DURING FY22, FROM MENTAL HEALTH AWARENESS PROGRAMS AND SUICIDE PREVENTION, TO FACILITATING YOUTH APPRENTICESHIP PROGRAMS. IN ADDITION, BARROW PROVIDED SUPPORT TO OTHER LOCAL NON-PROFIT ORGANIZATIONS THAT SERVE THE COMMUNITY. CHARITY CARE: LIKE NGMC GAINESVILLE, BRASELTON, AND LUMPKIN, NGMC BARROW'S CHARITY CARE POLICY REMOVED BARRIERS FOR LOW-INCOME POPULATIONS WITHIN OUR SERVICE AREA, BEGINNING WITH THE FREE, MEDICALLY NECESSARY CARE FOR PATIENTS WHOSE GROSS FAMILY INCOME IS 0 TO 150 PERCENT OF THE FEDERAL POVERTY LEVEL (FPL) ADJUSTED FOR FAMILY SIZE. PATIENTS FROM OUR SERVICE AREA WHOSE FPL IS FROM 151 TO 300 PERCENT MAY QUALIFY FOR AN ADJUSTMENT EQUIVALENT TO THE HOSPITAL'S MEDICARE REIMBURSEMENT RATE PLUS AN ADDITIONAL 40 PERCENT DISCOUNT TO THE MEDICARE REIMBURSEMENT RATE. IN FY22, THE ESTIMATED COST OF INDIGENT AND CHARITY CARE THROUGH NGMC BARROW WAS $3.8 MILLION BASED ON 3,966 PATIENT ENCOUNTERS. IN ADDITION, NGMC BARROW INCURRED BAD DEBT EXPENSE DURING 2022 OF APPROXIMATELY $10.0 MILLION AS MEASURED BY CHARGES. THIS REPRESENTS APPROXIMATELY 21.8 PERCENT OF NET PATIENT REVENUE AS REFLECTED IN THE AUDITED FINANCIAL STATEMENTS. A SIGNIFICANT PERCENTAGE OF THIS AMOUNT IS ESTIMATED TO BE THE RESULT OF PATIENTS THAT ARE EMPLOYED BY UNABLE TO PAY MEDICAL EXPENSES AND ARE THEREFORE CONSIDERED "MEDICALLY INDIGENT." FINANCIAL NAVIGATORS: NGMC BARROW FINANCIAL ASSISTANCE COUNSELORS HELP PATIENTS BECOME INSURED THROUGH MEDICAID, PEACHCARE, OR OTHER PROGRAMS. THIS TEAM ADVOCATES FOR UNINSURED AND UNDER-INSURED PATIENTS, AIDING THEM IN FINDING VIABLE MEANS TO ACCESS CARE. THEY FIND THE BEST SOLUTIONS BY HELPING PATIENTS APPLY FOR MEDICAID OR DISABILITY, ACCESSING HEALTHCARE EXCHANGES, OR PROCESSING CHARITY APPLICATIONS WHEN APPROPRIATE. CANCER PATIENT NAVIGATION: NGMC'S PATIENT NAVIGATION PROGRAM PROVIDED CANCER PATIENTS WITH GUIDANCE THROUGHOUT THEIR CANCER JOURNEY AND ACTED AS A "LIVING RESOURCE DIRECTORY" FOR PATIENTS. SERVICES INCLUDED: CONNECTING WITH COMMUNITY RESOURCES, PROVIDING EMOTIONAL SUPPORT, HELPING PATIENTS UNDERSTAND THEIR DIAGNOSIS, COMMUNICATING WITH HEALTHCARE STAFF AND PROVIDERS, ADDRESSING LOGISTICAL ISSUES SUCH AS TRANSPORTATION NEEDS, AND HELPING PATIENTS UNDERSTAND MEDICAL TERMS AND TREATMENT OPTIONS. THESE EFFORTS CAME AT A TOTAL ESTIMATED COST OF $119,650 FOR 1,593 PEOPLE FOR NGMC BARROW IN FY22. WHAT DRIVES NGMC'S COMMUNITY HEALTH IMPROVEMENT ACTIVITIES? NGMC WITH INPUT FROM THE COMMUNITY, COMPLETED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN 2022. THE ASSESSMENT FOCUSED MAINLY ON THE NEEDS OF THE COMMUNITY'S MOST VULNERABLE POPULATIONS, PARTICULARLY THOSE WITH LOW INCOMES WHO ARE UNINSURED. INPUT FROM THE COMMUNITY WAS GATHERED THROUGH FOCUS GROUPS AND INTERVIEWS. THE STUDY IDENTIFIED THREE HEALTH PRIORITIES THAT FIT HAND-IN-GLOVE WITH THE ORGANIZATION'S STRATEGIC DIRECTION: MENTAL & BEHAVIORAL HEALTH, ACCESS TO CARE, AND HEALTHY BEHAVIORS. FOR MORE INFORMATION ABOUT THE CHNA PROCESS AND THESE PRIORITIES, GO TO WWW.NGHS.COM/COMMUNITY-BENEFIT-RESOURCES. PARTNERING IN THE COMMUNITY COMMUNITY LEADERSHIP: IN FY22, NGMC BARROW AND SYSTEM LEADERSHIP ACTIVELY SUPPORTED THE LOCAL COMMUNITY THROUGH BOARD LEADERSHIP, VOLUNTEER OPPORTUNITIES, AND COMMUNITY INVOLVEMENT. THE PUBLIC RELATIONS MANAGER OF NGMC BARROW, ACTIVELY SUPPORTED THE LOCAL COMMUNITY THROUGH BOARD LEADERSHIP, INCLUDING: CO-CHAIR OF THE NGHS DIVERSITY, EQUITY, AND INCLUSION COUNCIL; BOARD MEMBER, AND FINANCE COMMITTEE MEMBER ON THE BARROW CHAMBER OF COMMERCE; VICE CHAIR OF THE BARROW CHAMBER OF COMMERCE'S WOMEN IN BUSINESS PROGRAM; MEMBER OF THE NEGA COUNCIL EXECUTIVE BOARD OF DIRECTORS AND STRATEGIC PLANNING COMMITTEE OF BOYS SCOUTS OF AMERICA; CHAIR OF FRIENDS OF BOY SCOUTS; VICE CHAIR OF BARROW ARTS AND SCIENCES ACADEMY (BASA) SCHOOL GOVERNANCE TEAM; SELECTION COMMITTEE MEMBER OF BASA PRINCIPAL; GRANT REVIEW COMMITTEE MEMBER OF THE UNITED WAY AND DEJERBE GRANT; AND READER OF BOOKS TO STATHAM ELEMENTARY FIRST AND THIRD GRADERS. NGMC'S VICE PRESIDENT OF POST-ACUTE SERVICES ACTIVELY SUPPORTED THE LOCAL COMMUNITY THROUGH BOARD LEADERSHIP, INCLUDING ACTING AS AN ADVISORY COMMITTEE MEMBER OF WIMBERLY ROOTS AND A YOUTH COACH AND MENTOR OF YMCA PIEDMONT. THE NURSING LEADER AT NGMC BARROW IS A NATIVE OF THE AREA AND ACTIVELY SUPPORTED THE LOCAL COMMUNITY THROUGH BOARD LEADERSHIP ON THE ADVISORY COMMITTEE OF WIMBERLY ROOTS. FINALLY, CAROL BURRELL, NGHS CEO, ACTIVELY SUPPORTED THE LOCAL COMMUNITY THROUGH BOARD LEADERSHIP, INCLUDING SERVING AS CO-CHAIR ON THE CFIT PARK PROJECT, "BUILDING THE FUTURE CAMPAIGN." THE VALUE OF STAFF TIME TOWARD COMMUNITY LEADERSHIP TOTALED $13,344 FOR NGMC BARROW IN FY22. THE GEORGIA CLUB FOUNDATION PARTNERSHIP: NGMC PARTNERS WITH THE GEORGIA CLUB FOUNDATION, PROVIDING MEDICAL AWARENESS EVENTS TO SERVE THE COMMUNITY. THE GEORGIA CLUB FOUNDATION IS SERVES UNMET EDUCATIONAL, SPIRITUAL, AND BASIC HUMAN NEEDS OF PERSONS PRIMARILY WITHIN THE SURROUNDING COUNTIES OF BARROW, OCONEE, AND CLARKE COUNTIES. THROUGH PARTNERSHIPS, VOLUNTEER EFFORTS, AND FUNDRAISING, THE FOUNDATION ACTS AS THE HELPING HAND THAT IMPROVES AND STRENGTHENS LIFE IN OUR COMMUNITY. FY22 EVENTS INCLUDED A PRE-DIABETES HEALTH SEMINAR AND A CARDIOVASCULAR HEALTH PRESENTATION AND PREVENTIVE HEALTH CHECKUP. THIS CONTINUED COLLABORATION CAME AT A COST OF $1,664 FOR NGMC BARROW IN FY22. FRIENDS OF ADVANTAGE: IN FY22, NGMC BARROW DONATED TO FRIENDS OF ADVANTAGE (FOA), A 501C3 NON-PROFIT THAT DIRECTLY ASSISTS ADVANTAGE BEHAVIORAL HEALTH SYSTEMS BY BRIDGING GAPS IN FUNDING FOR INDIVIDUALS WITH MENTAL ILLNESS, DEVELOPMENTAL DISABILITIES, AND ADDICTIVE DISEASE RECOVERY. THE ORGANIZATION'S MISSION IS TO ENHANCE THE LIVES OF PEOPLE SERVED BY EXPANDING KNOWLEDGE AND RESOURCES BEYOND THOSE PROVIDED BY FAMILIES, GOVERNMENT, OR INSURANCE. THIS CASH DONATION CAME AT A COST OF $500 FOR NGMC BARROW IN FY22. AMERICAN FOUNDATION FOR SUICIDE PREVENTION: NGMC BARROW PROVIDED FINANCIAL SUPPORT FOR THE OUT OF THE DARKNESS WALK WHICH RAISED FUNDS FOR THE AMERICAN FOUNDATION FOR SUICIDE PREVENTION FOR RESEARCH, PROGRAMS, EDUCATION, AND ADVOCACY. THIS SUPPORT CAME AT A COST OF $500 FOR NGMC BARROW IN FY22.
FORM 990, PART III, LINE 4A	MERCY HEALTH CENTER: NGMC BARROW DONATED TO THE MERCY HEALTH CENTER, WHOSE MISSION ALIGNS WITH NGMC GOALS TO TREAT MENTAL AND BEHAVIORAL HEALTH NEEDS OF THOSE WHO NEED IT MOST. AS A NON-PROFIT FREE HEALTH CLINIC THAT ONLY SERVES THE LOW-INCOME UNINSURED POPULATION, MERCY ENCOUNTERS PATIENTS AT HIGHER RISK OF SUICIDAL IDEATION THAN THE PUBLIC. AS A RESULT, MERCY IS UNIQUELY POSITIONED TO INTERVENE AND MAKE AN ETERNAL DIFFERENCE IN THE LIVES OF OUR PATIENTS AND THEIR FAMILIES. IN FY22, NGMC BARROW SUPPORTED MERCY HEALTH CENTER WITH A DONATION OF $5,000. QPR TRAINING FOR MENTAL HEALTH: QPR SUICIDE PREVENTION TRAINING WAS PROVIDED TO 300 INDIVIDUALS AT AN EXPENSE OF $1,455 TO NGMC BARROW IN FY22.THIS IMPORTANT TRAINING TEACHES HOW TO: ASK THE SUICIDE QUESTION, PERSUADE THE PERSON TO STAY ALIVE, AND THEN REFER THE PERSON TO THE APPROPRIATE SUPPORT. BARROW COUNTY FARMERS MARKET SUPPORT: NGMC PROVIDED A CASH DONATION TO THE BARROW COUNTY FARMERS MARKET, WHICH ENHANCES AND SUPPORTS HEALTHY LIFESTYLES AND DIETS IN OUR COMMUNITY. THIS SUPPORT CAME AT A COST OF $1,000 FOR NGMC BARROW IN FY22. ADVENTURE BAGS INC.: NGMC BARROW SPONSORED ADVENTURE BAGS INC., A LOCAL NONPROFIT THAT SERVES CHILDREN WHO HAVE BEEN DISPLACED DUE TO HOMELESSNESS, DISASTER, OR ENTERING FOSTER CARE. THE ORGANIZATION PROVIDES BAGS THAT INCLUDE CLOTHES, OVERNIGHT ESSENTIALS, AND PERSONAL CARE ITEMS. THIS SUPPORT CAME AT A COST OF $500 FOR NGMC BARROW IN FY22. CHILD ADVOCACY, PROTECTION, AND WELLNESS: NGMC BARROW PROVIDED FINANCIAL SUPPORT FOR PIEDMONT CASA (COURT APPOINTED SPECIAL ADVOCATES). CASAS ARE APPOINTED BY THE JUVENILE COURT JUDGE TO ADVOCATE FOR THE BEST INTEREST OF THE CHILD AND ARE RESPONSIBLE FOR ENSURING THE CHILD'S NEEDS ARE MET AND THE CHILD'S BEST INTEREST IS HEARD. THIS SUPPORT CAME AT A COST OF $1,000 FOR NGMC BARROW IN FY22. SAFE KIDS NORTHEAST GEORGIA: NGMC BARROW SERVED AS THE LEAD AGENCY FOR SAFE KIDS NORTHEAST GEORGIA, REDUCING UNINTENTIONAL INJURIES AND DEATH IN CHILDREN 19 AND UNDER. IN FY22, SAFE KIDS PROVIDED TWO PROGRAMS AND EVENTS IN THE BARROW AREA, WITH OUTREACH TO OVER 650 CHILDREN AND THEIR FAMILY MEMBERS, TEACHERS, AND CAREGIVERS. THESE PROGRAMS DISTRIBUTED SAFETY ITEMS TO FAMILIES WHO NEEDED THEM, INCLUDING 125 HELMETS AND $2,549 WORTH OF BOOSTER SEATS. SAFE KIDS WAS FUNDED BY THE NGHS FOUNDATION. OVERALL SUPPORT CAME AT A COST OF $4,844 FOR NGMC BARROW IN FY22. THE TREE HOUSE, INC. SUPPORT: NGMC DONATED TO THE TREE HOUSE, INC., WHOSE MISSION IS TO STRENGTHEN COMMUNITIES BY REDUCING THE OCCURRENCE AND IMPACT OF CHILD ABUSE THROUGH COUNSELING, EDUCATING, SUPPORTING, AND NURTURING CHILDREN AND FAMILIES IN BARROW, BANKS, AND JACKSON COUNTIES. NGMC BARROW'S EMERGENCY DEPARTMENT MANAGER SERVES ON THE FOUNDATION'S BOARD OF DIRECTORS. THIS SUPPORT CAME AT A COST OF $1,000 FOR NGMC BARROW IN FY22. BOYS & GIRLS CLUB OF WINDER SUPPORT: NGMC BARROW DONATED TO THE BOYS & GIRLS CLUB OF WINDER, WHICH PROVIDES PROGRAMS THAT EMPOWER YOUTH TO EXCEL IN SCHOOL, BECOME GOOD CITIZENS AND LEAD HEALTHY, PRODUCTIVE LIVES. THIS SUPPORT CAME AT A COST OF $2,000 FOR NGMC BARROW IN FY22. NORTHEAST GEORGIA COUNCIL FRIENDS OF SCOUTING: IN FY22, NGMC BARROW PROVIDED SUPPORT TO THE BOY SCOUTS OF AMERICA, HELPING TEACH CHILDREN THE VALUES OF CITIZENSHIP, CHARACTER DEVELOPMENT, AND PERSONAL FITNESS THROUGH COMMUNITY SERVICE, CAMP, AND OTHER ACTIVITIES. THIS SUPPORT CAME AT A COST OF $5,000. THE CANCER FOUNDATION SUPPORT: A DONATION WAS PROVIDED TO SUPPORT THE CANCER FOUNDATION, WHOSE MISSION IS TO HELP ALLEVIATE THE FINANCIAL BURDEN OF CANCER PATIENTS LIVING IN NORTHEAST GEORGIA WHO ARE EXPERIENCING AN IMMEDIATE FINANCIAL CRISIS AND ARE CURRENTLY RECEIVING TREATMENT OR ARE SIX MONTHS POST-TREATMENT. THIS SUPPORT CAME AT A COST OF $3,000 FOR NGMC BARROW IN FY22. STROKE EDUCATION AND OUTREACH: STAFF FROM THE NGMC BARROW STROKE UNIT PROVIDED EDUCATION TO THE COMMUNITY ABOUT STROKE PREVENTION, SYMPTOMS, RISK FACTORS, AND ACTIONS TO TAKE. EDUCATIONAL DEMONSTRATIONS WERE PROVIDED AT SEVERAL COMMUNITY EVENTS. THESE HEALTH EDUCATION ENGAGEMENTS CAME AT A COST OF $320 FOR NGMC BARROW IN FY22. EDUCATION AND WORKFORCE DEVELOPMENT ALLIED HEALTH STUDENT EDUCATION: NGMC PROVIDED CLINICAL ROTATIONS FOR ALLIED HEALTH STUDENTS. EDUCATIONAL AFFILIATION AGREEMENTS ARE MAINTAINED WITH EACH SCHOOL/PROGRAM. NGMC'S EDUCATION SERVICES DEPARTMENT ENSURES COMPLETION OF ALL ORIENTATION AND STUDENT HEALTH REQUIREMENTS BEFORE ROTATIONS. STUDENTS WORK DIRECTLY WITH NGMC STAFF. AT NGMC BARROW, 19 STUDENTS BENEFITED FROM THIS PROGRAM AT A COST OF $17,765 IN FY22. NURSING STUDENT EDUCATION: NGMC COORDINATES CLINICAL ROTATIONS FOR NURSING STUDENTS AT NGMC BARROW, INCLUDING FACULTY AND STUDENT ORIENTATION, EDUCATIONAL AFFILIATION AGREEMENT MAINTENANCE, AND COMPLETION OF ALL HEALTH AND LEGAL REQUIREMENTS BEFORE FIRST ROTATIONS. AT NGMC BARROW, 20 STUDENTS BENEFITED FROM THIS PROGRAM AT A COST OF $19,011 FOR NGMC BARROW IN FY22. YOUTH DEVELOPMENT BARROW COUNTY SCHOOLS: NGMC PARTNERED WITH BARROW COUNTY SCHOOLS TO IMPLEMENT "TAR WARS" FOR 1,655 FOURTH AND FIFTH-GRADE STUDENTS. "TAR WARS" IS A TOBACCO-FREE EDUCATION PROGRAM DEVELOPED BY THE AMERICAN ACADEMY OF FAMILY PHYSICIANS TO TEACH KIDS ABOUT THE DANGERS OF TOBACCO USE, THE COST ASSOCIATED WITH USING TOBACCO PRODUCTS, AND THE ADVERTISING TECHNIQUES USED BY THE TOBACCO INDUSTRY TO MARKET THEIR PRODUCTS TO YOUTH. IN FY22, NGMC'S FOURTH CONSECUTIVE YEAR OF "TAR WARS" WAS MARKED WITH A POSTER CONTEST, INSPIRING STUDENTS TO SUBMIT DESIGNS DISCOURAGING THE USE OF TOBACCO. THE BARROW STUDENTS SELECTED WENT ON TO PLACE IN THE TOP THREE ON THE STATE LEVEL. THIS PROGRAM SUPPORT CAME AT A COST OF NEARLY $800 FOR NGMC BARROW IN FY22. UGA FOOTHILLS 2022 HEALTH CAREERS CONFERENCE SUPPORT: NGMC BARROW PARTICIPATED IN THE UGA FOOTHILLS 2022 HEALTH CAREERS CONFERENCE, A UNIQUE OPPORTUNITY FOR HIGH SCHOOL STUDENTS TO GET ON THE PATH TO A SUCCESSFUL CAREER IN THE HEALTHCARE INDUSTRY. DURING THIS THREE-DAY CONFERENCE, STUDENTS ARE EXPOSED TO HEALTH CAREERS AND OPPORTUNITIES THROUGH A VARIETY OF HANDS-ON ACTIVITIES AND FACILITY TOURS. NGMC BARROW CONTRIBUTED TO THIS CONFERENCE WITH A SUTURING TEACHING EVENT LED BY RESIDENT DR. DEVIN SMITH. THIS INVOLVEMENT CAME AT A COST OF $123 FOR NGMC BARROW IN FY22. YOUTH APPRENTICESHIP PROGRAM: THE YOUTH APPRENTICESHIP PROGRAM PROVIDES AN OPPORTUNITY FOR HIGH SCHOOL STUDENTS COME INTO THE HOSPITAL AND WORK FOR ONE CLASS PERIOD IN THEIR DAY. THIS PROGRAM PROVIDES HANDS-ON EXPOSURE TO MANY DIFFERENT HEALTHCARE CAREERS AND SERVES AS A RECRUITMENT TOOL TO ENCOURAGE STUDENT ENROLLMENT IN POST-SECONDARY HEALTHCARE PROGRAMS OF STUDY. EIGHT STUDENTS PARTICIPATED WITH NGMC BARROW, WORKING APPROXIMATELY 7.5 HOURS EACH WEEK. NGMC LUMPKIN HIGHLIGHTS OF NGMC LUMPKIN'S FY22 COMMUNITY BENEFIT ACTIVITIES: NGMC LUMPKIN, LLC VALUES COOPERATIVE EFFORTS WITH COMMUNITY ORGANIZATIONS AND OTHER HEALTHCARE PROVIDERS TO IMPROVE THE HEALTH STATUS OF AREA RESIDENTS. THE ORGANIZATION DEMONSTRATES THIS BY PROVIDING FINANCIAL AND STAFF SUPPORT TO LOCAL NONPROFIT AGENCIES, DEVELOPING PARTNERSHIPS WITH SCHOOLS ON HEALTH PROFESSIONS EDUCATION, AND FOSTERING PARTNERSHIPS WITH ESTABLISHED INDIGENT CLINICS THAT SERVE THE UNDER-SERVED POPULATION. CHARITY CARE: LIKE NGMC GAINESVILLE, BRASELTON, AND BARROW, LUMPKIN'S CHARITY CARE POLICY REMOVED BARRIERS FOR LOW-INCOME POPULATIONS WITHIN OUR SERVICE AREA, BEGINNING WITH FREE MEDICALLY NECESSARY CARE FOR PATIENTS WHOSE GROSS FAMILY INCOME WAS ZERO TO 150 PERCENT OF THE FEDERAL POVERTY LEVEL (FPL) ADJUSTED FOR FAMILY SIZE. PATIENTS FROM OUR SERVICE AREA WHOSE FPL IS FROM 151 TO 300 PERCENT QUALIFIED FOR AN ADJUSTMENT EQUIVALENT TO THE HOSPITAL'S MEDICARE REIMBURSEMENT RATE PLUS AN ADDITIONAL 40 PERCENT DISCOUNT TO THE MEDICARE REIMBURSEMENT RATE. IN FY22, THE ESTIMATED COST OF INDIGENT AND CHARITY CARE THROUGH NGMC LUMPKIN WAS APPROXIMATELY $800,000 BASED ON 1,167 PATIENT ENCOUNTERS. IN ADDITION, NGMC INCURRED BAD DEBT EXPENSE DURING 2022 OF OVER $6.9 MILLION AS MEASURED BY CHARGES. THIS REPRESENTS APPROXIMATELY 25.6 PERCENT OF NET PATIENT REVENUE AS REFLECTED IN THE AUDITED FINANCIAL STATEMENTS. A SIGNIFICANT PERCENTAGE OF THIS AMOUNT IS ESTIMATED TO BE THE RESULT OF PATIENTS THAT ARE EMPLOYED BY UNABLE TO PAY MEDICAL EXPENSES AND ARE THEREFORE CONSIDERED "MEDICALLY INDIGENT."
FORM 990, PART III, LINE 4A	WHAT DRIVES NGMC'S COMMUNITY HEALTH IMPROVEMENT ACTIVITIES? NORTHEAST GEORGIA MEDICAL, WITH INPUT FROM THE COMMUNITY, COMPLETED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN FY22. THE ASSESSMENT FOCUSED MAINLY ON THE NEEDS OF THE COMMUNITY'S MOST VULNERABLE POPULATIONS, PARTICULARLY THOSE WITH LOW INCOMES WHO ARE UNINSURED. INPUT FROM THE COMMUNITY WAS GATHERED THROUGH FOCUS GROUPS AND INTERVIEWS. THE STUDY CULMINATED IN THE IDENTIFICATION OF THE THREE FOLLOWING HEALTH PRIORITIES THAT FIT HAND-IN-GLOVE WITH THE STRATEGIC DIRECTION OF THE ORGANIZATION: BEHAVIORAL AND MENTAL HEALTH, ACCESS TO CARE, AND HEALTHY BEHAVIORS. FOR MORE INFORMATION ABOUT THESE PRIORITIES, GO TO WWW.NGHS.COM/COMMUNITY-BENEFIT-RESOURCES. LEADERSHIP LUMPKIN COUNTY: IN FY22, THREE NGMC STAFF MEMBERS WERE INVITED TO PARTICIPATE IN LEADERSHIP LUMPKIN COUNTY, SPONSORED BY THE LUMPKIN CHAMBER OF COMMERCE. THIS NINE-MONTH PROGRAM BRINGS TOGETHER LEADERS OF LUMPKIN COUNTY BUSINESSES, STRENGTHENING RELATIONSHIPS AND OFFERING OPPORTUNITIES FOR COLLABORATION. THE EFFORTS TOWARD THIS PROGRAM CAME AT A COST OF $734 TO NGMC LUMPKIN IN FY22. ROTARY CLUB SUPPORT: MEMBERS OF NGMC LUMPKIN ATTENDED THE WEEKLY NOON MEETING OF THE ROTARY CLUB OF LUMPKIN COUNTY, WHICH SUPPORTS LOCAL CHARITIES AND SERVICES, AND IN TURN PROVIDES CONNECTIONS WITHIN THE LUMPKIN COUNTY COMMUNITY WITH OTHER LEADERS. THE SUPPORT CAME AT A COST OF $3,396 FOR FY22. ALLIED HEALTH STUDENT EDUCATION: NGMC PROVIDED CLINICAL ROTATIONS FOR ALLIED HEALTH STUDENTS. EDUCATIONAL AFFILIATION AGREEMENTS ARE MAINTAINED WITH EACH SCHOOL/PROGRAM. NGMC'S EDUCATION SERVICES DEPARTMENT ENSURES COMPLETION OF ALL ORIENTATION AND STUDENT HEALTH REQUIREMENTS BEFORE ROTATIONS. STUDENTS WORK DIRECTLY WITH NGMC STAFF. BEHAVIORAL HEALTH YOUTH EDUCATION: NGMC LUMPKIN PROVIDED A DONATION TO THE LUMPKIN COUNTY SHERIFF'S OFFICE TO DEVELOP AND PRODUCE CRIME PREVENTION, SAFETY EDUCATION AND SUBSTANCE ABUSE EDUCATION MATERIALS. THE MATERIALS WERE USED AS PART OF "THE FIGHT AGAINST DRUGS, ALCOHOL & VIOLENCE IN OUR COMMUNITY" PROGRAM AND HELP EDUCATE YOUTH IN LUMPKIN COUNTY SCHOOLS ON MAKING SAFE AND RESPONSIBLE CHOICES. THIS SUPPORT COST $999 FOR NGMC LUMPKIN IN FY22. PARTNERING TO REACH THE UNINSURED: NGMC WORKED COOPERATIVELY WITH OTHER HEALTHCARE PROVIDERS TO CARE FOR AREA RESIDENTS, PARTICULARLY THE INDIGENT POPULATION. SUPPORT OF COMMUNITY HELPING PLACE: NGMC PROVIDED FINANCIAL AND STAFF SUPPORT FOR COMMUNITY HELPING PLACE, AN INDIGENT HEALTH CLINIC IN LUMPKIN COUNTY THAT PROVIDES MEDICAL AND DENTAL SERVICES FOR THE AREA'S MOST VULNERABLE POPULATIONS. NGMC DONATED $15,000 TO HELP SUPPORT THESE EFFORTS IN FY22 NGMC LUMPKIN DIRECTOR KAY HALL SERVED ON THE BOARD OF THE LUMPKIN COUNTY COMMUNITY HELPING PLACE AND NAVIGATION TOWARD MENTAL HEALTH SERVICES. THE VALUE OF STAFF TIME IN FY22 TOTALED $3,227. SUPPORT OF GOOD SHEPHERD CLINIC: GOOD SHEPHERD CLINIC OF DAWSON COUNTY STRIVES TO MAKE DAWSON COUNTY A BETTER PLACE BY PROVIDING HEALTH CARE FOR THOSE WHO HAVE NONE. IN FY22, NGMC PROVIDED OFFICE SPACE FREE OF CHARGE TO THE CLINIC AT A VALUE OF $185,193 ALONG WITH AN ADDITIONAL DONATION OF $10,000 TO THE CLINIC. LUMPKIN COUNTY FAMILY CONNECTION: NGMC SUPPORTED LUMPKIN COUNTY FAMILY CONNECTION, A PARTNERSHIP OF ORGANIZATIONS WORKING TO HELP MEET THE NEEDS OF CHILDREN AND FAMILIES OF THE COMMUNITY. THE GOALS ARE TO PREVENT CHILD ABUSE AND NEGLECT AND TO GIVE ALL CHILDREN AN EQUAL OPPORTUNITY TO SUCCEED IN SCHOOL AND IN LIFE. THE COLLABORATIVE PROVIDED SHOES AND CLOTHING TO NEEDY CHILDREN, OVER 47,000 POUNDS OF FOOD, SCHOOL SUPPLIES AND 597 MENTORING HOURS. NGMC LUMPKIN SUPPORTED AT THE $7,500 LEVEL IN FY22. SOUTH ENOTAH CHILD ADVOCACY CENTER, INC.: NGMC SPONSORED THE SOUTH ENOTAH CHILD ADVOCACY CENTER, WHICH SUPPORTS CHILDREN WHO HAVE SURVIVED ABUSE AND NEGLECT IN LUMPKIN AND WHITE COUNTY. THIS DONATION CAME AT A COST OF $500 FOR NGMC LUMPKIN IN FY22. LUMPKIN LITERACY SUPPORT: THE LUMPKIN COUNTY LITERACY COALITION'S MISSION IS TO INCREASE ADULT AND CHILDHOOD LITERACY IN LUMPKIN COUNTY. IN FY22, NGMC LUMPKIN DONATED $750 TO THESE EFFORTS. LUMPKIN COUNTY EDUCATION FOUNDATION: NGMC SUPPORTED THE LUMPKIN COUNTY EDUCATION FOUNDATION AT A COST OF $1,000 IN FY22. NURSING STUDENT EDUCATION: NGMC LUMPKIN PROVIDED CLINICAL ROTATIONS FOR NURSING STUDENTS AT NGMC LUMPKIN'S CAMPUS, INCLUDING FACULTY AND STUDENT ORIENTATION, EDUCATIONAL AFFILIATION AGREEMENT MAINTENANCE, AND COMPLETION OF ALL HEALTH AND LEGAL REQUIREMENTS BEFORE FIRST ROTATIONS. AT NGMC LUMPKIN CAMPUS, 106 STUDENTS BENEFITED FROM THIS PROGRAM AT A COST OF $437,182 FOR NGMC LUMPKIN FOR FY22. NEW NGMC LUMPKIN: IN JUNE 2022, NGMC LUMPKIN BROKE GROUND ON A NEW HOSPITAL IN DAHLONEGA, GEORGIA, WHICH WILL ENHANCE ACCESS TO HEALTHCARE SERVICES FOR AREA RESIDENTS. REMOTE TREATMENT STROKE CENTER: IN EARLY 2022, NGMC LUMPKIN WAS DESIGNATED A REMOTE TREATMENT STROKE CENTER BY THE GEORGIA DEPARTMENT OF PUBLIC HEALTH FOR ITS ADVANCEMENTS IN STROKE CARE. TO EARN THIS DESIGNATION, THE HOSPITAL'S STROKE TEAM DEMONSTRATED THE ABILITY TO EVALUATE, STABILIZE AND PROVIDE EVIDENCE-BASED TREATMENT TO PATIENTS WITH ACUTE STROKE SYMPTOMS. NGMC'S ESTABLISHED POLICIES, PROTOCOLS, DATA COLLECTION, RESOURCES, COMMUNITY RELATIONS AND QUALITY IMPROVEMENT WERE ALSO IMPORTANT FACTORS THE STATE CONSIDERED FOR THIS STROKE DESIGNATION. SPECIAL NOTES ABOUT COMMUNITY BENEFIT REPORTING NGMC USED THE PRECEPTS OUTLINED IN "A GUIDE FOR PLANNING AND REPORTING COMMUNITY BENEFIT," PROVIDED BY THE CATHOLIC HEALTH ASSOCIATION OF THE UNITED STATES AND VIZIENT FOR ITS COMMUNITY BENEFIT REPORTING WITHIN THE ORGANIZATION'S IRS 990 SCHEDULE H. THE GUIDE'S PURPOSE IS TO HELP NOT-FOR-PROFIT MISSION-DRIVEN HEALTHCARE ORGANIZATIONS DEVELOP, ENHANCE AND REPORT ON THEIR COMMUNITY BENEFIT PROGRAMS. COMMUNITY BENEFIT DEFINITION: THE PROGRAM OR ACTIVITY MUST ADDRESS A DEMONSTRATED COMMUNITY NEED AND SEEK TO ADDRESS AT LEAST ONE OF THE FOLLOWING: -IMPROVING ACCESS -ENHANCING POPULATION HEALTH -ADVANCING GENERALIZABLE KNOWLEDGE -RELIEVING THE GOVERNMENT BURDEN ON IMPROVING HEALTH THE PROGRAM OR ACTIVITY MUST: -PRIMARILY BENEFIT THE COMMUNITY RATHER THAN THE ORGANIZATION -RESULT IN MEASURABLE EXPENSE TO THE ORGANIZATION IF THE PROGRAM OR ACTIVITY IS PROVIDED PRIMARILY FOR MARKETING PURPOSES, STANDARD PRACTICE, EXPECTED OF ALL HOSPITALS (SUCH AS ACTIVITIES REQUIRED FOR ACCREDITATION, LICENSURE, OR TO PARTICIPATE IN MEDICARE) OR IS PRIMARILY FOR EMPLOYEES (NOT INCLUDING INTERNS, RESIDENTS, AND FELLOWS) AND/OR AFFILIATED PHYSICIANS, IT IS NOT COMMUNITY BENEFIT. CHARITY CARE COST IS AN ESTIMATED COST AND DOES NOT INCLUDE BAD DEBT. ADDITIONAL INFORMATION HAS BEEN INCLUDED IN THE SCHEDULE O TO GIVE THE BROADEST VIEW OF COMMUNITY IMPACT OF NGHS HOSPITALS.
FORM 990, PART VI, SECTION B, LINE 11B	INFORMATION FOR THE FORM 990 WAS PROVIDED TO AN INDEPENDENT CERTIFIED PUBLIC ACCOUNTANT FOR PREPARATION OF THE RETURN. AFTER THE RETURN WAS PREPARED, IT WAS REVIEWED BY SENIOR FINANCIAL MANAGEMENT. THE FORM 990 IS MADE AVAILABLE TO MEMBERS OF THE BOARD PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12C	BOARD MEMBERS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE ANNUALLY. EMPLOYEES ATTEST TO THEIR UNDERSTANDING AND REPORTING/DISCLOSURE REQUIREMENTS AT HIRE AND ANNUALLY. COMPLIANCE IS MONITORED CONTINUOUSLY THROUGHOUT THE YEAR BY THE BOARD.
FORM 990, PART VI, SECTION B, LINE 15	THE EXECUTIVE COMPENSATION COMMITTEE OF THE NORTHEAST GEORGIA HEALTH SYSTEM BOARD (NGHS BOARD) HAS DEVELOPED A TOTAL COMPENSATION PHILOSOPHY AND INSTALLED COMPENSATION POLICIES AND PROCEDURES THAT SEEK TO FURTHER THE PURPOSE OF NGHS AND AFFILIATES AND THE IMPORTANCE OF THESE POLICIES TO ATTRACT AND RETAIN KEY EMPLOYEES. THE EXECUTIVE COMPENSATION COMMITTEE IS COMPOSED OF VOTING DIRECTORS WHO ARE NOT EMPLOYEES OF NGHS AND IS FREE FROM CONFLICT OF INTEREST. ALL DECISIONS OF THE EXECUTIVE COMPENSATION COMMITTEE ARE REVIEWED AND RATIFIED BY THE NGHS BOARD. THE COMMITTEE'S METHODOLOGY AND APPROACH INCORPORATE BOTH QUALITATIVE AND QUANTITATIVE CONSIDERATIONS, WHICH ARE REFLECTED IN THE COMMITTEE'S DETERMINATIONS CONCERNING KEY EMPLOYEE COMPENSATION AND THE SPECIFIC COMPONENTS THEREOF. THE COMPENSATION DECISIONS OF THE COMMITTEE ARE DESCRIBED BELOW AS TO EACH OF THE THREE CATEGORIES. BASE SALARY NGHS ENGAGES AN INDEPENDENT THIRD-PARTY CONSULTANT TO COLLECT APPROPRIATE DATA FROM A GROUP OF PEERS SIMILAR IN SIZE AND COMPLEXITY TO NGHS. THIS COMPARABILITY DATA IS REVIEWED WITH THE COMMITTEE ALONG WITH COMPARISONS OF NGHS EXECUTIVE SALARIES COMPARED TO THE MARKET DATA. THE CEO MAKES RECOMMENDATIONS TO THE COMMITTEE FOR SALARIES WITHIN THE PEER GROUP SALARY RANGES BASED ON INDIVIDUAL PERFORMANCE ASSESSMENTS FOR EACH POSITION. IN EACH INSTANCE THE COMMITTEE MEMBERS REACH A CONSENSUS BASED ON THE COMBINATION OF AVAILABLE INFORMATION, AND THE COMMITTEE SETS A BASE SALARY LEVEL FOR EACH KEY EMPLOYEE. PERFORMANCE BASED VARIABLE COMPENSATION NGHS LEADERSHIP PARTICIPATE IN A PERFORMANCE BASED VARIABLE COMPENSATION PLAN WITH OPPORTUNITY LEVELS DETERMINED BASED ON THE PEER GROUP MARKET DATA AND TO ALIGN WITH THE NGHS EXECUTIVE COMPENSATION PHILOSOPHY PARAMETERS. ANNUAL GOALS AND OBJECTIVES ARE DETERMINED THROUGH A FORMAL PLANNING PROCESS INVOLVING BOARD MEMBERS AND SENIOR MANAGEMENT. FOLLOWING THE END OF THE FISCAL YEAR, CASH AWARDS ARE DETERMINED BASED ON ORGANIZATION PERFORMANCE. BENEFITS AND RETENTION PROGRAMS BENEFIT PLANS AND AMOUNTS ARE DETERMINED BY A COMPARISON PROCESS SIMILAR TO DETERMINING BASE SALARIES WITH POSITIONS AND ORGANIZATIONS SIMILAR TO NGHS. INCLUDED IN BENEFITS ARE RETIREMENT PROGRAMS TO ENHANCE RETENTION AND PROGRESS TOWARD LONG-TERM GOALS WITHIN NGHS' MISSION.
FORM 990, PART VI, SECTION C, LINE 19	FINANCIAL STATEMENTS AND STATISTICS ARE FILED QUARTERLY WITH DIGITAL ASSURANCE CERTIFICATION, LLC (DAC BOND). DAC BOND SERVES AS A DISCLOSURE DISSEMINATION AGENT FOR ISSUERS OF MUNICIPAL BONDS ELECTRONICALLY POSTING AND TRANSMITTING INFORMATION TO REPOSITORIES AND INVESTORS. ALL OTHER ITEMS ARE AVAILABLE UPON REQUEST.
FORM 990, PART IX, LINE 11G	CONSULTING FEES: PROGRAM SERVICE EXPENSES 1,461,888. MANAGEMENT AND GENERAL EXPENSES 335,589. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,797,477. CONTRACT SERVICE FEES: PROGRAM SERVICE EXPENSES 16,651,943. MANAGEMENT AND GENERAL EXPENSES 3,822,597. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 20,474,540. OUTSIDE SERVICE FEES: PROGRAM SERVICE EXPENSES 3,726,777. MANAGEMENT AND GENERAL EXPENSES 855,514. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,582,291. FEES FOR SERVICES - OTHER: PROGRAM SERVICE EXPENSES 4,856,950. MANAGEMENT AND GENERAL EXPENSES 1,114,954. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,971,904.
FORM 990, PART XI, LINE 9:	INTERCOMPANY FORGIVENESS 67,072,417. PARTNERSHIP INCOME NOT ON BOOKS 76,902. PENSION ADJUSTMENT 61,017,446. OTHER ADJUSTMENT 37.
AMENDED RETURN	AN OFFICER WAS INADVERTENTLY INCLUDED IN THE COMPENSATION THAT DID NOT RECIEVE CEMPENSATION FROM THE ENTITY IN THE FISCAL YEAR. THIS AMENDED RETURN CORRECTS THAT INFORAMTION.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

NORTHEAST GEORGIA HEALTH SYSTEM INC

Employer identification number

58-1694090

Part I

Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity
(1) RIVER PLACE MEDICAL OFFICE PLAZA I LLC 743 SPRING STREET GAINESVILLE,GA30501 58-1694090	RENTAL	GA	3,518,292	13,392,409	NORTHEAST GEORGIA HEALTH SYSTEM INC
(2) GEORGIA HEART INSTITUTE LLC 743 SPRING STREET GAINESVILLE,GA30501 46-4354068	HEALTHCARE	GA	35,008,519	2,454,582	NORTHEAST GEORGIA HEALTH SYSTEM INC
(3) HEALTHECONNECTIONS LLC 743 SPRING STREET GAINESVILLE,GA30501 58-1694098	HEALTHCARE	GA	0	0	NORTHEAST GEORGIA MEDICAL CENTER INC
(4) NGMC BARROW LLC 743 SPRING STREET GAINESVILLE,GA30501 81-4015190	HEALTHCARE	GA	56,523,543	8,130,833	NORTHEAST GEORGIA HEALTH SYSTEM INC
(5) NGMC LUMPKIN LLC 743 SPRING STREET GAINESVILLE,GA30501 83-1294232	HEALTHCARE	GA	34,386,100	1,651,307	NORTHEAST GEORGIA HEALTH SYSTEM INC
(6) NORTHEAST GEORGIA PHYSICIANS GROUP URGENT CARE LLC 743 SPRING STREET GAINESVILLE,GA30501 20-5064238	MEDICAL	GA	32,539,509	654,073	NORTHEAST GEORGIA PHYSICIANS GROUP INC
(7) NORTHEAST GEORGIA HEALTH RESOURCES LLC 743 SPRING STREET GAINESVILLE,GA30501 85-3221091	HEALTHCARE	GA	0	0	NORTHEAST GEORGIA HEALTH SYSTEM INC
(8) NORTHEAST GEORGIA PEO LLC 743 SPRING STREET GAINESVILLE,GA30501 85-3939319	HEALTHCARE	GA	3,012,156	0	NORTHEAST GEORGIA HEALTH SYSTEM INC
(9) NORTHEAST GEORGIA HEALTH VENTURES 743 SPRING STREET GAINESVILLE,GA30501 88-3268162	HEALTHCARE	GA	0	0	NORTHEAST GEORGIA HEALTH SYSTEM INC

Part II

Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)NORTHEAST GEORGIA MEDICAL CENTER INC 743 SPRING STREET GAINESVILLE,GA30501 58-1694098	HEALTHCARE - HOSPITAL	GA	501(C)(3)	LINE 3	NORTHEAST GEORGIA HEALTH SYSTEM INC	Yes
(2)NORTHEAST GEORGIA PHYSICIANS GROUP INC 743 SPRING STREET GAINESVILLE,GA30501 58-2078064	HEALTHCARE	GA	501(C)(3)	LINE 12B, II	NORTHEAST GEORGIA HEALTH SYSTEM INC	Yes
(3)THE MEDICAL CENTER FOUNDATION DBA NGHS FOUNDATION 743 SPRING STREET GAINESVILLE,GA30501 58-1694820	FUNDRAISING AND SUPPORT	GA	501(C)(3)	LINE 7	NORTHEAST GEORGIA HEALTH SYSTEM INC	Yes
(4)THE MEDICAL CENTER AUXILIARY INC 743 SPRING STREET GAINESVILLE,GA30501 58-1550576	FUNDRAISING AND SUPPORT	GA	501(C)(3)	LINE 10	NORTHEAST GEORGIA HEALTH SYSTEM INC	Yes

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2021

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	Yes	No
(1) NORTHEAST GA HEALTH PARTNERS LLC 743 SPRING STREET GAINESVILLE,GA30501 58-2131807	PPO DEVELOPMENT	GA	N/A	C	2,619,386	9,476	100.000 %	Yes
(2) LANIER COMMUNITY ASSURANCE LTD 743 SPRING STREET GAINESVILLE,GA30501	INSURANCE	CJ	N/A	C	10,452,037	71,919,781	100.000 %		No
(3) NORTHEAST GEORGIA HEALTH PARTNERS NETWORK LLC 743 SPRING STREET GAINESVILLE,GA30501 61-1972705	PPO DEVELOPMENT	GA	N/A	C	472,061		100.000 %		No

Schedule R (Form 990) 2021

Page 3

Part V

Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

Yes

b Gift, grant, or capital contribution to related organization(s) ............................

Yes

c Gift, grant, or capital contribution from related organization(s) ............................

Yes

d Loans or loan guarantees to or for related organization(s) ............................

Yes

e Loans or loan guarantees by related organization(s) ............................

Yes

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

k Lease of facilities, equipment, or other assets from related organization(s) ......................

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

Yes

m Performance of services or membership or fundraising solicitations by related organization(s) .................

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

Yes

o Sharing of paid employees with related organization(s) ............................

Yes

p Reimbursement paid to related organization(s) for expenses ............................

q Reimbursement paid by related organization(s) for expenses ............................

r Other transfer of cash or property to related organization(s) ............................

s Other transfer of cash or property from related organization(s) ............................

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) NORTHEAST GEORGIA MEDICAL CENTER INC	L	131,755,004	COST
(2) NORTHEAST GEORGIA PHYSICIAN GROUP INC	C	33,858,768	COST
(3) NORTHEAST GEORGIA MEDICAL CENTER INC	B	105,628,852	COST
(4) NORTHEAST GEORGIA HEALTH SYSTEM INC	C	67,072,417	COST
(5) NORTHEAST GEORGIA HEALTH PARTNERS LLC	C	3,742,182	COST
(6) NGHS FOUNDATION	C	2,081,131	COST
(7) NORTHEAST GEORGIA MEDICAL CENTER INC	B	2,081,131	COST
(8) NORTHEAST GEORGIA MEDICAL CENTER INC	D	365,986	COST
(9) NGHS FOUNDATION	E	365,986	COST
(10) NGHS FOUNDATION	C	128,228	COST
(11) THE MEDICAL CENTER AUXILIARY INC	B	128,228	COST

Schedule R (Form 990) 2021

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership

Schedule R (Form 990) 2021

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R. See instructions.

Return Reference	Explanation

Schedule R (Form 990) 2021

Additional Data

Software ID:
Software Version:

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	5,734,791	1,171,111
9	Program service revenue (Part VIII, line 2g) .........	246,148,529	272,349,453
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	3,991,266	5,257,451
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	692,745	1,508,872
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	256,567,331	280,286,887
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	1,967,677	1,193,947
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	152,399,353	150,840,240
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	115,479,105	131,883,028
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	269,846,135	283,917,215
19	Revenue less expenses. Subtract line 18 from line 12.......	-13,278,804	-3,630,328
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	336,092,097	413,754,134
21	Total liabilities (Part X, line 26).............	110,746,425	73,133,027
22	Net assets or fund balances. Subtract line 21 from line 20.....	225,345,672	340,621,107

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 232,464,751 including grants of $ 1,193,947 ) (Revenue $ 272,349,453 )
	NORTHEAST GEORGIA HEALTH SYSTEM IS BASED IN GAINESVILLE, GEORGIA, AND SERVES MORE THAN A MILLION PEOPLE ACROSS THE REGION. SEE SCHEDULE O FOR PROGRAM SERVICE ACCOMPLISHMENTS CONTINUATION. SEE SCHEDULE O FOR PROGRAM SERVICE ACCOMPLISHMENTS CONTINUATION

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses232,464,751

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	0	14,883,124	1,291,825

		Business Code
2a	MANAGEMENT FEES	541610	131,755,004	131,755,004
b	OPERATING REVENUE	621400	122,811,262	122,811,262
c	PS RENT FROM AFFILIATE	531120	10,920,460	10,920,460
d	OTHER OPERATING REVENUE	900003	6,862,727	6,862,727
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		272,349,453

1	Briefly describe the organization’s mission or most significant activities: IMPROVING THE HEALTH OF THE COMMUNITY IN ALL WE DO.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	15
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	12
5	Total number of individuals employed in calendar year 2021 (Part V, line 2a) ......	5	0
6	Total number of volunteers (estimate if necessary) .............	6	11
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	0

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d
e	Government grants (contributions)		1e	1,171,111

f	All other contributions, gifts, grants, and similar amounts not included above		1f

g	Noncash contributions included in lines 1a - 1f:$		1g

h Total. Add lines 1a-1f.......		1,171,111

3 Investment income (including dividends, interest, and othersimilar amounts) ......			2,814,581			2,814,581
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents		1,806,680	6a
b	Less: rental expenses		297,808	6b
c	Rental income or (loss)		1,508,872	6c
d	Net rental income or (loss).......			1,508,872			1,508,872
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	527,476	1,915,394	7a
b	Less: cost or other basis and sales expenses	0	0	7b
c	Gain or (loss)	527,476	1,915,394	7c
d	Net gain or (loss).........			2,442,870			2,442,870
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a
b	Less: cost of goods sold ..		10b
c	Net income or (loss) from sales of inventory..
Business Code			Miscellaneous Revenue
11a
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......
12	Total revenue. See instructions.....			280,286,887	272,349,453	0	6,766,323

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	1,193,947	1,193,947
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........
7	Other salaries and wages........	128,415,025	104,439,940	23,975,085
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	14,095,497	11,463,868	2,631,629
9	Other employee benefits .......
10	Payroll taxes ...........	8,329,718	6,774,560	1,555,158
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	3,001,588	2,441,192	560,396
c	Accounting ...........	189,420	154,055	35,365
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	288,873	234,940	53,933
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	32,826,212	26,697,558	6,128,654
12	Advertising and promotion ....	3,331,497	2,709,507	621,990
13	Office expenses .......
14	Information technology ......
15	Royalties ..
16	Occupancy ...........	5,836,890	4,747,143	1,089,747
17	Travel ............	1,452,418	1,181,252	271,166
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....
20	Interest ...........
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	12,256,751	9,968,416	2,288,335
23	Insurance ...	14,315,693	11,642,953	2,672,740
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	BAD DEBT	18,751,985	18,751,985
b	MEDICAL SUPPLIES	11,457,515	11,457,515
c	ADMINISTRATIVE OVERHEAD	8,855,140	2,893,740	5,961,400
d	RECRUITMENT EXPENSE	3,881,691	3,156,979	724,712
e	All other expenses	15,437,355	12,555,201	2,882,154
25	Total functional expenses. Add lines 1 through 24e	283,917,215	232,464,751	51,452,464	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			28,289	1	12,325
2	Savings and temporary cash investments .........				2
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			8,735,874	4	7,270,122
5	Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
				5,737,849	5	6,013,878
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
					6
7	Notes and loans receivable, net ...........				7
8	Inventories for sale or use ............			1,136,587	8	1,165,350
9	Prepaid expenses and deferred charges ......				9
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	332,253,533
b	Less: accumulated depreciation	10b	127,388,853	172,641,525	10c	204,864,680
11	Investments—publicly traded securities .				11
12	Investments—other securities. See Part IV, line 11 .....			2,642,939	12	2,024,141
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............			3,263,093	14	3,263,093
15	Other assets. See Part IV, line 11 ...........			141,905,941	15	189,140,545
16	Total assets. Add lines 1 through 15 (must equal line 33)...			336,092,097	16	413,754,134

17	Accounts payable and accrued expenses .....	57,479,810	17	29,637,016
18	Grants payable ...		18
19	Deferred revenue .........	8,102,697	19	6,246,549
20	Tax-exempt bond liabilities .........		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
			22
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ..		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	45,163,918	25	37,249,462
26	Total liabilities. Add lines 17 through 25..	110,746,425	26	73,133,027

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	225,345,672	27	340,621,107
28	Net assets with donor restrictions ...........		28
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	225,345,672	32	340,621,107
33	Total liabilities and net assets/fund balances ........	336,092,097	33	413,754,134